Penelope Nancy Lynn Pavlinovic, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Lacey, Washington. Her current practice location is
700 Sleater Kinney Rd Se Ste B292, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 976-4005.
Penelope Nancy Lynn Pavlinovic is licensed to practice in Washington (license number 60606294) 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 1174050629.
Healthcare Provider's Profile
Full Name | Penelope Nancy Lynn Pavlinovic |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 700 Sleater Kinney Rd Se Ste B292, Lacey, Washington |
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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: 1174050629
- Provider Enumeration Date: 05/16/2017
- Last Update Date: 07/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345644217
- Enrollment ID: I20210920001966
Medical Identifiers
Medical identifiers for Penelope Nancy Lynn Pavlinovic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174050629 | NPI | - | NPPES |
901547890 | Other | WA | MEDICARE |
901547890 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 60606294 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | 60606294 (Washington) | 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. Penelope Nancy Lynn Pavlinovic allows following entities to bill medicare on her behalf.
Entity Name | Peace At Last Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184235632 PECOS PAC ID: 8123428752 Enrollment ID: O20210814000461 |
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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. Penelope Nancy Lynn Pavlinovic 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 |
Penelope Nancy Lynn Pavlinovic, LICSW 12047 118th Ave Se, Rainier, WA 98576-9728 Ph: (206) 979-4005 | Penelope Nancy Lynn Pavlinovic, LICSW 700 Sleater Kinney Rd Se Ste B292, Lacey, WA 98503-1150 Ph: (206) 976-4005 |
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