Ms Tracy Gilmore, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mill City, Oregon. Her current practice location is
478 Sw Douglas St, Mill City, Oregon. You can reach out to her office (for appointments etc.) via phone at
(773) 332-3058.
Ms Tracy Gilmore is licensed to practice in Illinois (license number 149.013322) 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 1295944791.
Healthcare Provider's Profile
Full Name | Ms Tracy Gilmore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 478 Sw Douglas St, Mill City, Oregon |
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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: 1295944791
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 01/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557757275
- Enrollment ID: I20220406001259
Medical Identifiers
Medical identifiers for Ms Tracy Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295944791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | L10223 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | 149.013322 (Illinois) | 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. Ms Tracy Gilmore allows following entities to bill medicare on her behalf.
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586 |
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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. Ms Tracy Gilmore 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 |
Ms Tracy Gilmore, MSW, LCSW 478 Sw Douglas St # 23, Mill City, OR 97360-0009 Ph: (773) 332-3058 | Ms Tracy Gilmore, MSW, LCSW 478 Sw Douglas St, Mill City, OR 97360-0009 Ph: (773) 332-3058 |
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