Ms Deborah Grace Dwelle, is a medicare enrolled "Psychologist" provider in Portland, Oregon. Her current practice location is
300 N Graham St Ste 420, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 276-6138.
Ms Deborah Grace Dwelle is licensed to practice in Oregon (license number 2281) 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 1023267077.
Healthcare Provider's Profile
Full Name | Ms Deborah Grace Dwelle |
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Gender | Female |
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Speciality | Psychologist |
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Location | 300 N Graham St Ste 420, 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: 1023267077
- Provider Enumeration Date: 09/15/2008
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365970928
- Enrollment ID: I20250109002183
Medical Identifiers
Medical identifiers for Ms Deborah Grace Dwelle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023267077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 2281 (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. Ms Deborah Grace Dwelle allows following entities to bill medicare on her behalf.
Entity Name | Legacy Emanuel Hospital & Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
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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. Ms Deborah Grace Dwelle 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 |
Ms Deborah Grace Dwelle, Po Box 4399, Portland, OR 97208-4399 Ph: () - | Ms Deborah Grace Dwelle, 300 N Graham St Ste 420, Portland, OR 97227 Ph: (503) 276-6138 |
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