Marissa Braun, is a medicare enrolled "Social Worker - Clinical" provider in Olympia, Washington. Her current practice location is
413 Lilly Rd Ne, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 493-7060.
Marissa Braun is licensed to practice in * (Not Available) (license number ) 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 1548617251.
Healthcare Provider's Profile
| Full Name | Marissa Braun |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 413 Lilly Rd Ne, Olympia, Washington |
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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: 1548617251
- Provider Enumeration Date: 05/23/2016
- Last Update Date: 07/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244634574
- Enrollment ID: I20210810000291
Medical Identifiers
Medical identifiers for Marissa Braun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548617251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Marissa Braun allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
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| Entity Name | Providence Health & Services Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744 |
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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. Marissa Braun 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 |
Marissa Braun, 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: () - | Marissa Braun, 413 Lilly Rd Ne, Olympia, WA 98506-5166 Ph: (360) 493-7060 |
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