Mimi Koontz, LCSW in Eugene, OR - Medicare Social Worker Provider

Mimi Koontz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. Her current practice location is 550 River Rd, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 743-2611.

Mimi Koontz is licensed to practice in Oregon (license number L4711) 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 1972884427.

Contact Information

	Mimi Koontz, LCSW
	550 River Rd, Eugene, OR 97404-3212
	(541) 743-2611
	(541) 868-0340

Map and Direction

Healthcare Provider's Profile

Full Name	Mimi Koontz
Gender	Female
Speciality	Social Worker - Clinical
Location	550 River Rd, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972884427
Provider Enumeration Date: 08/29/2011
Last Update Date: 07/15/2014

Medicare PECOS Information:

PECOS PAC ID: 2961723192
Enrollment ID: I20150601000160

Medical Identifiers

Medical identifiers for Mimi Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972884427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L4711 (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. Mimi Koontz allows following entities to bill medicare on her behalf.

Entity Name	Mission Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114150190 PECOS PAC ID: 0749326106 Enrollment ID: O20100313000054

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. Mimi Koontz 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
Mimi Koontz, LCSW 550 River Rd, Eugene, OR 97404-3212 Ph: (541) 743-2611	Mimi Koontz, LCSW 550 River Rd, Eugene, OR 97404-3212 Ph: (541) 743-2611

Reviews and Comments

Social Worker in Eugene, OR

Sonja Anne Fry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 E 7th Ave, Eugene, OR 97401 Phone: 541-242-0467
Ms. Mary Lawrence Tyler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1788 Cal Young Rd, #185, Eugene, OR 97401 Phone: 808-284-6053
Ms. Sarah Dalby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 346 Foxtail Dr, Eugene, OR 97405 Phone: 541-505-0848
Sandra L Sanders, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4010 Aerial Way, Eugene, OR 97402 Phone: 541-242-8311 Fax: 541-242-8335
Erin Couture, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1200 Hilyard St, Suite 420, Eugene, OR 97401 Phone: 541-744-0828
Kyle Hughes, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1234 High St, Eugene, OR 97401 Phone: 541-342-8437
Brittany Miller, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Country Club Rd Ste B, Eugene, OR 97401 Phone: 541-343-7200

Mimi Koontz, LCSW - Medicare Clinical Social Worker in Eugene, OR