Willa Kilbourne, is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
1130 Nw 22nd Ave Ste 630, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 413-6160.
Willa Kilbourne is licensed to practice in Oregon (license number L8200) 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 1932571163.
Healthcare Provider's Profile
Full Name | Willa Kilbourne |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1130 Nw 22nd Ave Ste 630, 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: 1932571163
- Provider Enumeration Date: 10/27/2015
- Last Update Date: 02/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608204474
- Enrollment ID: I20200310002925
Medical Identifiers
Medical identifiers for Willa Kilbourne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932571163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L8200 (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. Willa Kilbourne allows following entities to bill medicare on her behalf.
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
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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. Willa Kilbourne 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 |
Willa Kilbourne, 14600 Nw Cornell Rd, Portland, OR 97229-5442 Ph: () - | Willa Kilbourne, 1130 Nw 22nd Ave Ste 630, Portland, OR 97210-2977 Ph: (503) 413-6160 |
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