Desiree Dixon, is a medicare enrolled "Social Worker - Clinical" provider in Coos Bay, Oregon. Her current practice location is
632 Anderson Ave Ofc L, Coos Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 297-5449.
Desiree Dixon is licensed to practice in Oregon (license number L11077) 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 1588188643.
Healthcare Provider's Profile
Full Name | Desiree Dixon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 632 Anderson Ave Ofc L, Coos Bay, 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: 1588188643
- Provider Enumeration Date: 07/31/2017
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567815939
- Enrollment ID: I20240201002067
Medical Identifiers
Medical identifiers for Desiree Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588188643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L11077 (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. Desiree Dixon allows following entities to bill medicare on her behalf.
Entity Name | Optimize Wellness Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073209102 PECOS PAC ID: 6800249277 Enrollment ID: O20240201002194 |
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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. Desiree Dixon 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 |
Desiree Dixon, 632 Anderson Ave Ofc L, Coos Bay, OR 97420-1632 Ph: (541) 590-2498 | Desiree Dixon, 632 Anderson Ave Ofc L, Coos Bay, OR 97420-1632 Ph: (541) 297-5449 |
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