Annamarie H Mattox, BSW, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jefferson, Oregon. Her current practice location is
351 S Main St # 23, Jefferson, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 905-8173.
Annamarie H Mattox is licensed to practice in Oregon (license number L10905) 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 1366836579.
Healthcare Provider's Profile
| Full Name | Annamarie H Mattox |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 351 S Main St # 23, Jefferson, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366836579
- Provider Enumeration Date: 03/25/2015
- Last Update Date: 05/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476948803
- Enrollment ID: I20220321002134
Medical Identifiers
Medical identifiers for Annamarie H Mattox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366836579 | NPI | - | NPPES |
| 500705747 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L10905 (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. Annamarie H Mattox allows following entities to bill medicare on her behalf.
| Entity Name | Options Counseling Services Of Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548275217
PECOS PAC ID: 1658674197
Enrollment ID: O20160215000168 |
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| Entity Name | Reclaim Life Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043788896
PECOS PAC ID: 7416293493
Enrollment ID: O20190618003620 |
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| Entity Name | Sondermind Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710647581
PECOS PAC ID: 3577099621
Enrollment ID: O20241218003610 |
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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. Annamarie H Mattox 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 |
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Annamarie H Mattox, BSW, MSW, LCSW
760 Territorial St,
Harrisburg, OR 97446-9554
Ph: (971) 301-2189 | Annamarie H Mattox, BSW, MSW, LCSW
351 S Main St # 23,
Jefferson, OR 97352-9401
Ph: (541) 905-8173 |
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