Chloe Pedalino, LICSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in La Pine, Oregon. Her current practice location is
51340 Highway 97, La Pine, Oregon. You can reach out to her office (for appointments etc.) via phone at
(617) 855-2674.
Chloe Pedalino is licensed to practice in Oregon (license number L12294) 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 1356620975.
Healthcare Provider's Profile
Full Name | Chloe Pedalino |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 51340 Highway 97, La Pine, 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: 1356620975
- Provider Enumeration Date: 08/12/2011
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365702818
- Enrollment ID: I20180201002430
Medical Identifiers
Medical identifiers for Chloe Pedalino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356620975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 120208 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | L12294 (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. Chloe Pedalino allows following entities to bill medicare on her behalf.
Entity Name | The Mclean Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114979580 PECOS PAC ID: 9436040961 Enrollment ID: O20040323001228 |
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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. Chloe Pedalino 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 |
Chloe Pedalino, LICSW, LCSW 2577 Ne Courtney Dr, Bend, OR 97701-7752 Ph: (541) 322-7500 | Chloe Pedalino, LICSW, LCSW 51340 Highway 97, La Pine, OR 97739-9871 Ph: (617) 855-2674 |
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