Clinton E Kittrell, MSW in Pendleton, OR - Medicare Counselor Provider

Clinton E Kittrell, MSW is a medicare enrolled "Counselor - Mental Health" provider in Pendleton, Oregon. His current practice location is 46314 Timine Way, Pendleton, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 966-9830.

Clinton E Kittrell is licensed to practice in Oregon (license number L6482) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215345681.

Contact Information

	Clinton E Kittrell, MSW
	46314 Timine Way, Pendleton, OR 97801-9099
	(541) 966-9830
	(541) 240-8410

Map and Direction

Healthcare Provider's Profile

Full Name	Clinton E Kittrell
Gender	Male
Speciality	Counselor - Mental Health
Location	46314 Timine Way, Pendleton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215345681
Provider Enumeration Date: 07/29/2014
Last Update Date: 04/15/2020

Medicare PECOS Information:

PECOS PAC ID: 2860809175
Enrollment ID: I20210405001111

Medical Identifiers

Medical identifiers for Clinton E Kittrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215345681	NPI	-	NPPES
500681449	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	L6482 (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. Clinton E Kittrell allows following entities to bill medicare on his behalf.

Entity Name	Yellowhawk Tribal Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346283488 PECOS PAC ID: 6608924121 Enrollment ID: O20090511000179

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. Clinton E Kittrell 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
Clinton E Kittrell, MSW 46314 Timine Way, Pendleton, OR 97801-9099 Ph: (541) 966-9830	Clinton E Kittrell, MSW 46314 Timine Way, Pendleton, OR 97801-9099 Ph: (541) 966-9830

Reviews and Comments

Counselor in Pendleton, OR

Carol Harshman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628
Kristen Thompson-graber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207
Payton Jean Miller, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-278-6330
James Perry Gourlie, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628
Courtney Bingham, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-240-8030
Joseph Dyer, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207
Diana Bingham, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628

Clinton E Kittrell, MSW - Medicare Counselor in Pendleton, OR