Misty M Bonham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Canby, Oregon. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Barbara Majors Llc and her current practice location is
358 Nw 1st Ave Ste 3, Canby, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 427-8255.
Misty M Bonham is licensed to practice in Oregon (license number L11217) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467010397.
Healthcare Provider's Profile
| Full Name | Misty M Bonham |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 20 Years |
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| Location | 358 Nw 1st Ave Ste 3, Canby, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Misty M Bonham graduated from medical school in 2006
NPI Data:
- NPI Number: 1467010397
- Provider Enumeration Date: 06/05/2019
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981047578
- Enrollment ID: I20240212000599
Medical Identifiers
Medical identifiers for Misty M Bonham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467010397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L11217 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Barbara Majors Llc | 6608139498 | 9 |
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. Misty M Bonham allows following entities to bill medicare on her behalf.
| Entity Name | Misty Bonham Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417729872
PECOS PAC ID: 3072956663
Enrollment ID: O20240212000562 |
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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. Misty M Bonham 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 |
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Misty M Bonham, LCSW
Po Box 755,
Canby, OR 97013-0755
Ph: (503) 427-8255 | Misty M Bonham, LCSW
358 Nw 1st Ave Ste 3,
Canby, OR 97013-3533
Ph: (503) 427-8255 |
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