Emily Broom, MA in Mcminnville, OR - Medicare Social Worker Provider

Emily Broom, MA is a medicare enrolled "Social Worker - Clinical" provider in Mcminnville, Oregon. Her current practice location is 435 Ne Evans St Ste A, Mcminnville, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 472-4020.

Emily Broom is licensed to practice in Oregon (license number L4624) 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 1063811073.

Contact Information

	Emily Broom, MA
	435 Ne Evans St Ste A, Mcminnville, OR 97128-4635
	(503) 472-4020
	(503) 472-8630

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Broom
Gender	Female
Speciality	Social Worker - Clinical
Location	435 Ne Evans St Ste A, Mcminnville, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063811073
Provider Enumeration Date: 08/14/2014
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 3375082860
Enrollment ID: I20240828002809

Medical Identifiers

Medical identifiers for Emily Broom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063811073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L4624 (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. Emily Broom allows following entities to bill medicare on her behalf.

Entity Name	Lutheran Community Services Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326056433 PECOS PAC ID: 1254237522 Enrollment ID: O20031210000871

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. Emily Broom 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
Emily Broom, MA 435 Ne Evans St Ste A, Mcminnville, OR 97128-4635 Ph: (503) 472-4020	Emily Broom, MA 435 Ne Evans St Ste A, Mcminnville, OR 97128-4635 Ph: (503) 472-4020

Reviews and Comments

Social Worker in Mcminnville, OR

Lee J Monahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523
Brett C Moler, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 Fax: 503-474-4907
Caitlin Briana Schrage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 Ne Galloway St, Mcminnville, OR 97128 Phone: 503-434-7523
Rebecca Sturman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 609 Ne Baker St, Mcminnville, OR 97128 Phone: 503-435-4840
Kevin Brooks, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523
Julie C. Siepmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1075 Se Cedarwood Ave, Mcminnville, OR 97128 Phone: 503-435-1550

Emily Broom, MA - Medicare Clinical Social Worker in Mcminnville, OR