Michelle L Krummenacker, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clackamas, Oregon. Her current practice location is
9123 Se Saint Helens St Ste 100f, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 740-1971.
Michelle L Krummenacker is licensed to practice in Oregon (license number L3197) 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 1124033618.
Healthcare Provider's Profile
| Full Name | Michelle L Krummenacker |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 9123 Se Saint Helens St Ste 100f, Clackamas, 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: 1124033618
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 06/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294832051
- Enrollment ID: I20070514000283
Medical Identifiers
Medical identifiers for Michelle L Krummenacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124033618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 98-07-34 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L3197 (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. Michelle L Krummenacker allows following entities to bill medicare on her behalf.
| Entity Name | Chaise Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073720017 PECOS PAC ID: 7911006929 Enrollment ID: O20070615000208 |
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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. Michelle L Krummenacker 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 |
Michelle L Krummenacker, LCSW 10117 Se Sunnyside Rd, Suite F, Box 1217, Clackamas, OR 97015-7708 Ph: (503) 740-1971 | Michelle L Krummenacker, LCSW 9123 Se Saint Helens St Ste 100f, Clackamas, OR 97015-6800 Ph: (503) 740-1971 |
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