Berenice Mendoza Cabello, is a medicare enrolled "Social Worker - Clinical" provider in Happy Valley, Oregon. Her current practice location is
11211 Se 82nd Ave Ste 0, Happy Valley, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 722-6200.
Berenice Mendoza Cabello is licensed to practice in Oregon (license number L8173) 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 1437555091.
Healthcare Provider's Profile
| Full Name | Berenice Mendoza Cabello |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 11211 Se 82nd Ave Ste 0, Happy Valley, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437555091
- Provider Enumeration Date: 11/10/2014
- Last Update Date: 07/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911234893
- Enrollment ID: I20190815001019
Medical Identifiers
Medical identifiers for Berenice Mendoza Cabello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437555091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L8173 (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. Berenice Mendoza Cabello allows following entities to bill medicare on her behalf.
| Entity Name | Clackamas County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841443587
PECOS PAC ID: 9537065560
Enrollment ID: O20031210000827 |
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| Entity Name | Brightside Medical Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144800350
PECOS PAC ID: 9830562776
Enrollment ID: O20230417000538 |
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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. Berenice Mendoza Cabello 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 |
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Berenice Mendoza Cabello,
Po Box 8459,
Portland, OR 97207-8459
Ph: (503) 238-0769 | Berenice Mendoza Cabello,
11211 Se 82nd Ave Ste 0,
Happy Valley, OR 97086-7641
Ph: (503) 722-6200 |
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