Tess J Krakoff, CADC I/CSWA/QMHP is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
15 N Morris St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 230-9875.
Tess J Krakoff is licensed to practice in Oregon (license number A4300) 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 1770951402.
Healthcare Provider's Profile
| Full Name | Tess J Krakoff |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 15 N Morris St, 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. |
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NPI Data:
- NPI Number: 1770951402
- Provider Enumeration Date: 09/11/2015
- Last Update Date: 08/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 3577996164
- Enrollment ID: I20191212002315
Medical Identifiers
Medical identifiers for Tess J Krakoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770951402 | NPI | - | NPPES |
| 500720990 | Medicaid | OR | |
| 500725818 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17-08-11 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2014-000110 (New Jersey) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SL06094000 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | A4300 (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. Tess J Krakoff allows following entities to bill medicare on her behalf.
| Entity Name | Western Psychological And Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912008178
PECOS PAC ID: 7719975085
Enrollment ID: O20040505000049 |
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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. Tess J Krakoff 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 |
|---|
Tess J Krakoff, CADC I/CSWA/QMHP
722 Ne Prescott St Apt 4,
Portland, OR 97211-3982
Ph: (732) 763-2745 | Tess J Krakoff, CADC I/CSWA/QMHP
15 N Morris St,
Portland, OR 97227-1541
Ph: (503) 230-9875 |
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