Mr Justin I Hersom, LCSW in Tillamook, OR - Medicare Clinical Social Worker Provider

Mr Justin I Hersom, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tillamook, Oregon. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 17250 Wilson River Hwy, Tillamook, Oregon. You can reach out to his office (for appointments etc.) via phone at (832) 326-8552.

Mr Justin I Hersom is licensed to practice in Oregon (license number 6051) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871937078.

Contact Information

	Mr Justin I Hersom, LCSW
	17250 Wilson River Hwy, Tillamook, OR 97141-9145
	(832) 326-8552
	(503) 842-5035

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Justin I Hersom
Gender	Male
Speciality	Clinical Social Worker
Experience	13 Years
Location	17250 Wilson River Hwy, Tillamook, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Justin I Hersom graduated from medical school in 2011

NPI Data:

NPI Number: 1871937078
Provider Enumeration Date: 04/18/2013
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 8628380797
Enrollment ID: I20150701002024

Medical Identifiers

Medical identifiers for Mr Justin I Hersom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871937078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	55202 (Texas)	Secondary
104100000X	Social Worker	55202 (Texas)	Secondary
1041C0700X	Social Worker - Clinical	6051 (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. Mr Justin I Hersom allows following entities to bill medicare on his behalf.

Entity Name	Northwest Medical Foundation Of Tillamook
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676

Entity Name	Hersom Psychotherapy Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770216335 PECOS PAC ID: 4981086717 Enrollment ID: O20220827000274

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. Mr Justin I Hersom 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
Mr Justin I Hersom, LCSW 17250 Wilson River Hwy, Tillamook, OR 97141-9145 Ph: (832) 326-8552	Mr Justin I Hersom, LCSW 17250 Wilson River Hwy, Tillamook, OR 97141-9145 Ph: (832) 326-8552

Reviews and Comments

Social Worker in Tillamook, OR

Mr. Steven Doug Larzelier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Ms. Cassandra Wolfson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2507 Main Avenue N, Suite B, Tillamook, OR 97141 Phone: 503-842-6400 Fax: 503-842-6400
Samantha L Spratt, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Netarts Hwy W, Tillamook, OR 97141 Phone: 503-812-7452
Ms. Kimberlie Sue Miller, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Ms. Holly M Riendeau, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Ms. Jan L Bartlett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Laurel Ave, Tillamook, OR 97141 Phone: 503-842-4508 Fax: 503-842-4495
Sarah Luker, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201

Mr Justin I Hersom, LCSW - Medicare Clinical Social Worker in Tillamook, OR