Tracy Ann Merriam, LCSW in Bandon, OR - Medicare Social Worker Provider

Tracy Ann Merriam, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bandon, Oregon. Her current practice location is 110 10th St Se, Bandon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 347-5191.

Tracy Ann Merriam is licensed to practice in Oregon (license number 3420) 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 1104572288.

Contact Information

	Tracy Ann Merriam, LCSW
	110 10th St Se, Bandon, OR 97411-9157
	(541) 347-5191
	(541) 266-4578

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Ann Merriam
Gender	Female
Speciality	Social Worker - Clinical
Location	110 10th St Se, Bandon, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104572288
Provider Enumeration Date: 02/26/2022
Last Update Date: 06/12/2024

Medicare PECOS Information:

PECOS PAC ID: 6800784505
Enrollment ID: I20040305000082

Medical Identifiers

Medical identifiers for Tracy Ann Merriam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104572288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3420 (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. Tracy Ann Merriam allows following entities to bill medicare on her behalf.

Entity Name	North Bend Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138

Entity Name	Bandon Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033348289 PECOS PAC ID: 1557416757 Enrollment ID: O20100430000431

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. Tracy Ann Merriam 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
Tracy Ann Merriam, LCSW 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151	Tracy Ann Merriam, LCSW 110 10th St Se, Bandon, OR 97411-9157 Ph: (541) 347-5191

Reviews and Comments

Social Worker in Bandon, OR

Dr. Ivy Christine Wagner, DBH, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 780 2nd St Se Ste 10, Bandon, OR 97411 Phone: 541-329-2144
Mrs. Susan Lynn Dimock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 Alabama St, Suite 27, Bandon, OR 97411 Phone: 541-347-7090
Mrs. Nicole Lavee Woolley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2927 Ruby Ct, Bandon, OR 97411 Phone: 714-860-9433

Tracy Ann Merriam, LCSW - Medicare Clinical Social Worker in Bandon, OR