Keely Marie Beach, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. Her current practice location is
1200 Hilyard St Ste 570, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(458) 205-7070.
Keely Marie Beach is licensed to practice in Oregon (license number L8191) 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 1407280134.
Healthcare Provider's Profile
| Full Name | Keely Marie Beach |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1200 Hilyard St Ste 570, Eugene, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1407280134
- Provider Enumeration Date: 08/29/2013
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981936143
- Enrollment ID: I20191022000637
Medical Identifiers
Medical identifiers for Keely Marie Beach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407280134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L8191 (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. Keely Marie Beach allows following entities to bill medicare on her behalf.
| Entity Name | Peacehealth Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447207287
PECOS PAC ID: 9032023270
Enrollment ID: O20031113000097 |
|---|
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. Keely Marie Beach 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 |
|---|
Keely Marie Beach, LCSW
1115 Se 164th Ave Dept 358,
Vancouver, WA 98683-8004
Ph: (360) 729-1412 | Keely Marie Beach, LCSW
1200 Hilyard St Ste 570,
Eugene, OR 97401-8168
Ph: (458) 205-7070 |
Reviews and Comments