Mr Michael Theodore Walker, MSW, QMHP is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. He is a member of the group practice Clatsop Behavioral Healthcare and his current practice location is
2330 Ne Siskiyou St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 528-0757.
Mr Michael Theodore Walker is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1396810875.
Healthcare Provider's Profile
| Full Name | Mr Michael Theodore Walker |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Location | 2330 Ne Siskiyou St, Portland, Oregon |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Michael Theodore Walker graduated from medical school in
NPI Data:
- NPI Number: 1396810875
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 11/26/2008
Medicare PECOS Information:
- PECOS PAC ID: 7113274283
- Enrollment ID: I20180719003591
Medical Identifiers
Medical identifiers for Mr Michael Theodore Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396810875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clatsop Behavioral Healthcare | 1355336454 | 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. Mr Michael Theodore Walker allows following entities to bill medicare on his behalf.
| Entity Name | Clatsop Behavioral Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013925155
PECOS PAC ID: 1355336454
Enrollment ID: O20040419000166 |
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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. Mr Michael Theodore Walker 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 |
|---|
Mr Michael Theodore Walker, MSW, QMHP
Po Box 343,
Tillamook, OR 97141-0343
Ph: (503) 842-4650 | Mr Michael Theodore Walker, MSW, QMHP
2330 Ne Siskiyou St,
Portland, OR 97212-2471
Ph: (503) 528-0757 |
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