Marcella Shook, MSW is a medicare enrolled "Social Worker" provider in Portland, Oregon. Her current practice location is
4212 Ne Broadway, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 249-8787.
Marcella Shook is licensed to practice in Oregon (license number L13343) 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 1851756795.
Healthcare Provider's Profile
| Full Name | Marcella Shook |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 4212 Ne Broadway, 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: 1851756795
- Provider Enumeration Date: 12/18/2015
- Last Update Date: 08/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 7719357318
- Enrollment ID: I20221222001537
Medical Identifiers
Medical identifiers for Marcella Shook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851756795 | NPI | - | NPPES |
| 500810186 | Medicaid | OR | |
| 2394610 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (Washington) | Secondary |
| 104100000X | Social Worker | L13343 (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. Marcella Shook allows following entities to bill medicare on her behalf.
| Entity Name | The Oregon Clinic, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
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| Entity Name | Broadway Medical Clinic LLP |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720082316 PECOS PAC ID: 2466447610 Enrollment ID: O20040416001171 |
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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. Marcella Shook 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 |
Marcella Shook, MSW 541 Ne 20th Ave, Portland, OR 97232-2862 Ph: (503) 963-2801 | Marcella Shook, MSW 4212 Ne Broadway, Portland, OR 97213-1422 Ph: (503) 249-8787 |
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