Daja Isom, in Ellensburg, WA - Medicare Counselor Provider

Daja Isom, is a medicare enrolled "Counselor - Mental Health" provider in Ellensburg, Washington. Her current practice location is 212 W 5th Ave Apt 310, Ellensburg, Washington. You can reach out to her office (for appointments etc.) via phone at (317) 652-6805.

Daja Isom is licensed to practice in Washington (license number 61430497) 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 1710668660.

Contact Information

	Daja Isom,
	212 W 5th Ave Apt 310, Ellensburg, WA 98926-2832
	(317) 652-6805
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Daja Isom
Gender	Female
Speciality	Counselor - Mental Health
Location	212 W 5th Ave Apt 310, Ellensburg, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710668660
Provider Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 0143750372
Enrollment ID: I20250204000411

Medical Identifiers

Medical identifiers for Daja Isom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710668660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	61430497 (Washington)	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. Daja Isom allows following entities to bill medicare on her behalf.

Entity Name	Midwest Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118

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. Daja Isom 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
Daja Isom, 212 W 5th Ave Apt 310, Ellensburg, WA 98926-2832 Ph: (317) 652-6805	Daja Isom, 212 W 5th Ave Apt 310, Ellensburg, WA 98926-2832 Ph: (317) 652-6805

Reviews and Comments

Counselor in Ellensburg, WA

Ms. Carmen-ecaterina Visan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 N Pearl St, Suite 220, Ellensburg, WA 98926 Phone: 509-925-2114 Fax: 509-925-2115
Alicia Sanchez, CDPT.CO.61388854 Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 N Pearl St, Ellensburg, WA 98926 Phone: 509-925-7507
Laura S Garcia, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 N Anderson St, Ellensburg, WA 98926 Phone: 203-240-2095
Lawrence Matthew Deats, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 S Maple St, Ellensburg, WA 98926 Phone: 360-244-2982
Laree R Born, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 W 4th Ave, Ellensburg, WA 98926 Phone: 509-925-9861
David Hulslander, Counselor Medicare: Medicare Enrolled Practice Location: 707 N Pearl St, Suite E, Ellensburg, WA 98926 Phone: 509-575-4084
Debra Dove, Counselor Medicare: Medicare Enrolled Practice Location: 220 W 4th Ave, Ellensburg, WA 98926 Phone: 509-925-9861

Daja Isom, - Medicare Counselor in Ellensburg, WA