Pamela Self, is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mindful Therapy Group Pc and her current practice location is
2415 Se 43rd Ave Ste 200, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 238-0705.
Pamela Self is licensed to practice in Oregon (license number L10482) 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 1851742175.
Healthcare Provider's Profile
| Full Name | Pamela Self |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 2415 Se 43rd Ave Ste 200, Portland, 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:
- Pamela Self graduated from medical school in 2017
NPI Data:
- NPI Number: 1851742175
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 09/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284048422
- Enrollment ID: I20210128002227
Medical Identifiers
Medical identifiers for Pamela Self such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851742175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19-04-13 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L10482 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mindful Therapy Group Pc | 4981872561 | 440 |
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. Pamela Self allows following entities to bill medicare on her behalf.
| Entity Name | Cascadia Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336196401
PECOS PAC ID: 7618873761
Enrollment ID: O20031209000991 |
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| Entity Name | Mindful Therapy Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316238678
PECOS PAC ID: 4981872561
Enrollment ID: O20210301001586 |
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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. Pamela Self 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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Pamela Self,
Po Box 8459,
Portland, OR 97207-8459
Ph: () - | Pamela Self,
2415 Se 43rd Ave Ste 200,
Portland, OR 97206-1671
Ph: (503) 238-0705 |
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