Tammy Countryman, LICSW - Medicare Clinical Social Worker in Moses Lake, WA

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Tammy Countryman, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Moses Lake, Washington. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Moses Lake Community Health Center and her current practice location is 605 S Coolidge St, Moses Lake, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 764-6111.

Tammy Countryman is licensed to practice in Washington (license number LW61412156) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073058400.

Contact Information

Tammy Countryman, LICSW
605 S Coolidge St,
Moses Lake, WA 98837-1873
(509) 764-6111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTammy Countryman
GenderFemale
SpecialityClinical Social Worker
Experience8 Years
Location605 S Coolidge St, Moses Lake, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tammy Countryman graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1073058400
  • Provider Enumeration Date: 12/20/2016
  • Last Update Date: 06/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8527426543
  • Enrollment ID: I20230623001898

Medical Identifiers

Medical identifiers for Tammy Countryman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073058400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SC60925928 (Washington)Secondary
1041C0700XSocial Worker - Clinical 95929 (California)Secondary
1041C0700XSocial Worker - Clinical LW61412156 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Moses Lake Community Health Center125423513876

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. Tammy Countryman allows following entities to bill medicare on her behalf.
Entity NameMoses Lake Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699862813
PECOS PAC ID: 1254235138
Enrollment ID: O20031121000667
Entity NameMobile Care Physicians Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457010126
PECOS PAC ID: 8426440892
Enrollment ID: O20220627000179
Entity NameOptum Behavioral Care of Colorado PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629812409
PECOS PAC ID: 0941648463
Enrollment ID: O20241017002871

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. Tammy Countryman 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 AddressPractice Location Address
Tammy Countryman, LICSW
605 S Coolidge St,
Moses Lake, WA 98837-1873

Ph: (509) 764-6111		Tammy Countryman, LICSW
605 S Coolidge St,
Moses Lake, WA 98837-1873

Ph: (509) 764-6111

Reviews and Comments


Social Worker in Moses Lake, WA

Mr. Brian Craig Osborne, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1032b W Cascade Ave, Moses Lake, WA 98837
Phone: 360-304-9356    
Jamie Olson, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 812 Sharon Ave E, Moses Lake, WA 98837
Phone: 509-398-5093    
Meghan Lamb, MSW, LICSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 840 E Plum St, Moses Lake, WA 98837
Phone: 509-765-9239    
Cecilia Garrett, MSW, LSWAIC
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 1800 S Clover Dr Ste 2, Moses Lake, WA 98837
Phone: 509-418-9860    
Brooke Valdez, MS, BS, CAAL
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 840 E Plum St, Moses Lake, WA 98837
Phone: 509-765-9239    
Nicole Prentice, LSWAIC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1021 W Broadway Ave, Moses Lake, WA 98837
Phone: 509-750-0304    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.