Ms Kelly Jo Medeiros-wheeler, LCSW in Sherwood, OR - Medicare Social Worker Provider

Ms Kelly Jo Medeiros-wheeler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Sherwood, Oregon. Her current practice location is 21887 Sw Sherwood Blvd Ste C, Sherwood, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 966-4154.

Ms Kelly Jo Medeiros-wheeler is licensed to practice in Oregon (license number L4416) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508166919.

Contact Information

	Ms Kelly Jo Medeiros-wheeler, LCSW
	21887 Sw Sherwood Blvd Ste C, Sherwood, OR 97140-9459
	(503) 966-4154
	(503) 506-0628

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelly Jo Medeiros-wheeler
Gender	Female
Speciality	Social Worker - Clinical
Location	21887 Sw Sherwood Blvd Ste C, Sherwood, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508166919
Provider Enumeration Date: 11/01/2010
Last Update Date: 03/25/2026

Medicare PECOS Information:

PECOS PAC ID: 4486831989
Enrollment ID: I20110609000766

Medical Identifiers

Medical identifiers for Ms Kelly Jo Medeiros-wheeler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508166919	NPI	-	NPPES
500658417	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L4416 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kelly Jo Medeiros-wheeler allows following entities to bill medicare on her behalf.

Entity Name	Virginia Garcia Memorial Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelly Jo Medeiros-wheeler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kelly Jo Medeiros-wheeler, LCSW 21370 Sw Langer Farms Pkwy Ste 142, Pmb-414, Sherwood, OR 97140 Ph: (503) 966-4154	Ms Kelly Jo Medeiros-wheeler, LCSW 21887 Sw Sherwood Blvd Ste C, Sherwood, OR 97140-9459 Ph: (503) 966-4154

Reviews and Comments

Social Worker in Sherwood, OR

Patricia Sturgeon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16100 Sw Century Dr, 90, Sherwood, OR 97140 Phone: 602-318-4254
Melinda Godinez Roberson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17197 Sw Kinglet Dr, Sherwood, OR 97140 Phone: 505-463-5072
Ms. Robyn Juola, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15739 Sw Hawk Ct, Sherwood, OR 97140 Phone: 503-625-7307
Louise Davis, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 21960 Sw Roellich Ave, Sherwood, OR 97140 Phone: 503-298-7442

Ms Kelly Jo Medeiros-wheeler, LCSW - Medicare Clinical Social Worker in Sherwood, OR