Jennifer Susan Booth, MSW in Portland, OR - Medicare Clinical Social Worker Provider

Jennifer Susan Booth, MSW is a medicare enrolled "Social Worker" provider in Portland, Oregon. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Legacy Clinics Llc and her current practice location is 412 Sw 12th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 501-5667.

Jennifer Susan Booth is licensed to practice in Oregon (license number L5558) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598076986.

Contact Information

	Jennifer Susan Booth, MSW
	412 Sw 12th Ave, Portland, OR 97205-2329
	(503) 501-5667
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Susan Booth
Gender	Female
Speciality	Clinical Social Worker
Experience	36 Years
Location	412 Sw 12th Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer Susan Booth graduated from medical school in 1988

NPI Data:

NPI Number: 1598076986
Provider Enumeration Date: 06/30/2010
Last Update Date: 11/18/2022

Medicare PECOS Information:

PECOS PAC ID: 9133555618
Enrollment ID: I20200131000154

Medical Identifiers

Medical identifiers for Jennifer Susan Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598076986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
104100000X	Social Worker	L5558 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Clinics Llc	0244144004	633

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. Jennifer Susan Booth allows following entities to bill medicare on her behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Fanno Creek Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609876705 PECOS PAC ID: 0042100521 Enrollment ID: O20040318000244

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. Jennifer Susan Booth 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
Jennifer Susan Booth, MSW 412 Sw 12th Ave, Portland, OR 97205-2329 Ph: () -	Jennifer Susan Booth, MSW 412 Sw 12th Ave, Portland, OR 97205-2329 Ph: (503) 501-5667

Reviews and Comments

Social Worker in Portland, OR

Ms. Claudette Hastie Beahrs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3318 Ne Hancock St, Portland, OR 97212 Phone: 503-249-7215 Fax: 503-335-3444
Ms. Sonya Carmen Strickland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214 Phone: 503-709-6101
Mr. Del R Thornton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 Sw Taylor, #345, Portland, OR 97205 Phone: 503-449-3238
Mrs. Yvette Denine Arey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Road, Bldg 104 Primary Care Clinic, Portland, OR 97207 Phone: 503-220-8262 Fax: 503-273-5210
Mr. Paul Patrick Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Se 14th Ave, Portland, OR 97214 Phone: 503-235-3433 Fax: 503-235-4762
Mrs. Nalini Kuruppu, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2233 N Holman St, Portland, OR 97217 Phone: 503-753-9157
Jeni Lynne Shilman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2701 Nw Vaughn St, Portland, OR 97210 Phone: 503-499-5200

Jennifer Susan Booth, MSW - Medicare Clinical Social Worker in Portland, OR