Ismael Concepcion Poo, in Longview, WA - Medicare Counselor Provider

Ismael Concepcion Poo, is a medicare enrolled "Counselor - Mental Health" provider in Longview, Washington. His current practice location is 748 14th Ave, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 200-5419.

Ismael Concepcion Poo is licensed to practice in * (Not Available) (license number ) 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 1508327974.

Contact Information

	Ismael Concepcion Poo,
	748 14th Ave, Longview, WA 98632-2315
	(360) 200-5419
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ismael Concepcion Poo
Gender	Male
Speciality	Counselor - Mental Health
Location	748 14th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508327974
Provider Enumeration Date: 03/28/2019
Last Update Date: 03/28/2019

Medicare PECOS Information:

PECOS PAC ID: 0840633582
Enrollment ID: I20240208004544

Medical Identifiers

Medical identifiers for Ismael Concepcion Poo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508327974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Ismael Concepcion Poo allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

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. Ismael Concepcion Poo 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
Ismael Concepcion Poo, 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 200-5419	Ismael Concepcion Poo, 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 200-5419

Reviews and Comments

Counselor in Longview, WA

Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653

Ismael Concepcion Poo, - Medicare Counselor in Longview, WA