Tanya Rose Fountain, in Salem, OR - Medicare Social Worker Provider

Tanya Rose Fountain, is a medicare enrolled "Social Worker - Clinical" provider in Salem, Oregon. Her current practice location is 780 Commercial St Se Ste 201, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 599-3881.

Tanya Rose Fountain is licensed to practice in Oregon (license number L11657) 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 1235338559.

Contact Information

	Tanya Rose Fountain,
	780 Commercial St Se Ste 201, Salem, OR 97301-3463
	(971) 599-3881
	(503) 300-2848

Map and Direction

Healthcare Provider's Profile

Full Name	Tanya Rose Fountain
Gender	Female
Speciality	Social Worker - Clinical
Location	780 Commercial St Se Ste 201, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235338559
Provider Enumeration Date: 07/16/2007
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7810434768
Enrollment ID: I20240808004274

Medical Identifiers

Medical identifiers for Tanya Rose Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235338559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L11657 (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. Tanya Rose Fountain allows following entities to bill medicare on her behalf.

Entity Name	Salem Psychiatric Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619061314 PECOS PAC ID: 6002702420 Enrollment ID: O20040430000049

Entity Name	Tanya Fountain Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942025598 PECOS PAC ID: 6305374547 Enrollment ID: O20250115002306

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. Tanya Rose Fountain 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
Tanya Rose Fountain, 780 Commercial St Se Ste 201, Salem, OR 97301-3463 Ph: (971) 599-3881	Tanya Rose Fountain, 780 Commercial St Se Ste 201, Salem, OR 97301-3463 Ph: (971) 599-3881

Reviews and Comments

Social Worker in Salem, OR

Mr. Jes Dimas, LCSW, LICSW, LSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 494 State St Ste 270, Salem, OR 97301 Phone: 503-583-2121 Fax: 855-855-4872
John B Milnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty St Se, Salem, OR 97302 Phone: 503-585-5328 Fax: 503-588-5327
Mr. Mark Alan Mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435
Keith Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Kingwood Ave Nw, Salem, OR 97304 Phone: 503-588-5816 Fax: 503-588-5803
Kathie L Yelliott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5955
Ms. Kathleen Marie Baptiste-mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 Fax: 503-364-7272
Ms. Rebecca Lanell Lovelady Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 459 Idylwood Dr Se, Salem, OR 97302 Phone: 541-390-2501

Tanya Rose Fountain, - Medicare Clinical Social Worker in Salem, OR