Dominique A Price, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
847 Ne 19th Ave Ste 100, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 238-0769.
Dominique A Price is licensed to practice in * (Not Available) (license number ) 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 1407106131.
Healthcare Provider's Profile
Full Name | Dominique A Price |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 847 Ne 19th Ave Ste 100, 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. |
NPI Data:
- NPI Number: 1407106131
- Provider Enumeration Date: 09/10/2012
- Last Update Date: 08/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092179002
- Enrollment ID: I20230908003337
Medical Identifiers
Medical identifiers for Dominique A Price such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407106131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Dominique A Price allows following entities to bill medicare on her behalf.
Entity Name | Cascadia Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336196401 PECOS PAC ID: 7618873761 Enrollment ID: O20031209000991 |
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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. Dominique A Price 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 |
Dominique A Price, LCSW Po Box 8459, Portland, OR 97207-8459 Ph: (775) 225-5322 | Dominique A Price, LCSW 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 Ph: (503) 238-0769 |
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