Annamarie H Mattox, BSW, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jefferson, Oregon. She graduated from healthcare school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Shangri-la Corporation and her current practice location is
351 S Main St # 23, Jefferson, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 905-8173.
Annamarie H Mattox is licensed to practice in Oregon (license number L10905) 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 1366836579.
Healthcare Provider's Profile
Full Name | Annamarie H Mattox |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 5 Years |
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Location | 351 S Main St # 23, Jefferson, Oregon |
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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:
- Annamarie H Mattox graduated from medical school in 2019
NPI Data:
- NPI Number: 1366836579
- Provider Enumeration Date: 03/25/2015
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476948803
- Enrollment ID: I20220321002134
Medical Identifiers
Medical identifiers for Annamarie H Mattox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366836579 | NPI | - | NPPES |
500705747 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L10905 (Oregon) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Shangri-la Corporation | 5294086450 | 3 |
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. Annamarie H Mattox allows following entities to bill medicare on her behalf.
Entity Name | Options Counseling Services Of Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548275217 PECOS PAC ID: 1658674197 Enrollment ID: O20160215000168 |
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Entity Name | Shangri-la Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053858993 PECOS PAC ID: 5294086450 Enrollment ID: O20180926004223 |
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Entity Name | Reclaim Life Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043788896 PECOS PAC ID: 7416293493 Enrollment ID: O20190618003620 |
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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. Annamarie H Mattox 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 |
Annamarie H Mattox, BSW, MSW, LCSW 760 Territorial St, Harrisburg, OR 97446-9554 Ph: (541) 905-8173 | Annamarie H Mattox, BSW, MSW, LCSW 351 S Main St # 23, Jefferson, OR 97352-9401 Ph: (541) 905-8173 |
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