Danielle Butsch Trifonov, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Oregon City, Oregon. Her current practice location is
1511 Division St Ste 101, Oregon City, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 722-3705.
Danielle Butsch Trifonov is licensed to practice in Oregon (license number L7781) 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 1376775106.
Healthcare Provider's Profile
| Full Name | Danielle Butsch Trifonov |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1511 Division St Ste 101, Oregon 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. |
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NPI Data:
- NPI Number: 1376775106
- Provider Enumeration Date: 08/12/2009
- Last Update Date: 10/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911448469
- Enrollment ID: I20240924002123
Medical Identifiers
Medical identifiers for Danielle Butsch Trifonov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376775106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ICDC.151248-CS (Ohio) | Secondary |
| 104100000X | Social Worker | 5596 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1200935.SUPV (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | L7781 (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. Danielle Butsch Trifonov allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652 |
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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. Danielle Butsch Trifonov 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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Danielle Butsch Trifonov, LCSW
Po Box 3158,
Portland, OR 97208-3158
Ph: (503) 215-6494 | Danielle Butsch Trifonov, LCSW
1511 Division St Ste 101,
Oregon City, OR 97045-1589
Ph: (503) 722-3705 |
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