Mai Kayanuma Rosenberry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
3550 N Interstate Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 249-5281.
Mai Kayanuma Rosenberry is licensed to practice in Oregon (license number L3931) 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 1942342464.
Healthcare Provider's Profile
Full Name | Mai Kayanuma Rosenberry |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3550 N Interstate Ave, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942342464
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 02/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 1658547955
- Enrollment ID: I20120109000837
Medical Identifiers
Medical identifiers for Mai Kayanuma Rosenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942342464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | RC00048956 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | L3931 (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. Mai Kayanuma Rosenberry allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
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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. Mai Kayanuma Rosenberry 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 |
Mai Kayanuma Rosenberry, LCSW 3550 N Interstate Ave, Portland, OR 97227-1196 Ph: (503) 249-5281 | Mai Kayanuma Rosenberry, LCSW 3550 N Interstate Ave, Portland, OR 97227-1196 Ph: (503) 249-5281 |
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