Brynn Dubose, is a medicare enrolled "Social Worker - Clinical" provider in Corvallis, Montana. Her current practice location is
1020 Main Street Box #702, Corvallis, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 361-0110.
Brynn Dubose is licensed to practice in Montana (license number BBH-LCSW-LIC-64715) 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 1437915303.
Healthcare Provider's Profile
Full Name | Brynn Dubose |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1020 Main Street Box #702, Corvallis, Montana |
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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: 1437915303
- Provider Enumeration Date: 02/27/2024
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658710389
- Enrollment ID: I20240415002083
Medical Identifiers
Medical identifiers for Brynn Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437915303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-64715 (Montana) | 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. Brynn Dubose allows following entities to bill medicare on her behalf.
Entity Name | Olive Branch Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790563930 PECOS PAC ID: 6103267570 Enrollment ID: O20240516000807 |
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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. Brynn Dubose 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 |
Brynn Dubose, 1967 N 1st St Apt B, Hamilton, MT 59840-3198 Ph: (406) 361-0110 | Brynn Dubose, 1020 Main Street Box #702, Corvallis, MT 59828 Ph: (406) 361-0110 |
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