Raina Wickham, in Philomath, OR - Medicare Counselor Provider

Raina Wickham, is a medicare enrolled "Counselor - Mental Health" provider in Philomath, Oregon. Her current practice location is 1229 Main Street, Suite 105, Philomath, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 609-1305.

Raina Wickham is licensed to practice in Oregon (license number MASTERS - PSU) 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 1457686073.

Contact Information

	Raina Wickham,
	1229 Main Street, Suite 105, Philomath, OR 97370
	(541) 609-1305
	(541) 714-3770

Map and Direction

Healthcare Provider's Profile

Full Name	Raina Wickham
Gender	Female
Speciality	Counselor - Mental Health
Location	1229 Main Street, Suite 105, Philomath, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457686073
Provider Enumeration Date: 10/15/2009
Last Update Date: 11/08/2016

Medicare PECOS Information:

PECOS PAC ID: 2163702846
Enrollment ID: I20161215001493

Medical Identifiers

Medical identifiers for Raina Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457686073	NPI	-	NPPES
500658765	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	11-12-75 (Oregon)	Secondary
101YM0800X	Counselor - Mental Health	MASTERS - PSU (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. Raina Wickham allows following entities to bill medicare on her behalf.

Entity Name	Philomath Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255850889 PECOS PAC ID: 6507228392 Enrollment ID: O20230810001773

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. Raina Wickham 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
Raina Wickham, 24971 Bluerock Ln, Corvallis, OR 97333-9554 Ph: (541) 609-1305	Raina Wickham, 1229 Main Street, Suite 105, Philomath, OR 97370 Ph: (541) 609-1305

Reviews and Comments

Counselor in Philomath, OR

Mr. Vonnie Lee Lewis, LPC MENTAL HEALTH Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N 20th St, Philomath, OR 97370 Phone: 541-368-4313 Fax: 541-929-4967
Lisa Burner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1622 Main St, Philomath, OR 97370 Phone: 541-929-5683
Rebecca D Anderson, LPC, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Main Street, Philomath, OR 97370 Phone: 503-871-9530
Phoenix Ries, MS,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1322 Main St., Philomath, OR 97370 Phone: 541-929-5065
Janda Anita Grigsby, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1229 Main Street, Philomath, OR 97370 Phone: 541-740-6589

Raina Wickham, - Medicare Counselor in Philomath, OR