Dawn Delight Macready-santos, MSW, LICSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
707 Sw Gaines St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(800) 452-3563.
Dawn Delight Macready-santos is licensed to practice in Oregon (license number L8585) 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 1669800207.
Healthcare Provider's Profile
| Full Name | Dawn Delight Macready-santos |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 707 Sw Gaines St, Portland, 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: 1669800207
- Provider Enumeration Date: 10/16/2013
- Last Update Date: 12/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446641831
- Enrollment ID: I20211218000090
Medical Identifiers
Medical identifiers for Dawn Delight Macready-santos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669800207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61029568 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | L8585 (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. Dawn Delight Macready-santos allows following entities to bill medicare on her behalf.
| Entity Name | University Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013 |
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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. Dawn Delight Macready-santos 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 |
|---|
Dawn Delight Macready-santos, MSW, LICSW, LCSW
707 Sw Gaines St,
Portland, OR 97239-2901
Ph: (800) 452-3563 | Dawn Delight Macready-santos, MSW, LICSW, LCSW
707 Sw Gaines St,
Portland, OR 97239-2901
Ph: (800) 452-3563 |
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