Kelli Ann Brugh, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Newport, Oregon. Her current practice location is
530 Nw 3rd St Ste C, Newport, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 234-3522.
Kelli Ann Brugh is licensed to practice in Oregon (license number L3967) 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 1528368008.
Healthcare Provider's Profile
Full Name | Kelli Ann Brugh |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 530 Nw 3rd St Ste C, Newport, 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: 1528368008
- Provider Enumeration Date: 10/29/2010
- Last Update Date: 09/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587849203
- Enrollment ID: I20110422000358
Medical Identifiers
Medical identifiers for Kelli Ann Brugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528368008 | NPI | - | NPPES |
500631621 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | L3967 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | L3967 (Oregon) | Primary |
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. Kelli Ann Brugh 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 |
Kelli Ann Brugh, LCSW 356 Nw 57th St, Newport, OR 97365-1196 Ph: (541) 961-4124 | Kelli Ann Brugh, LCSW 530 Nw 3rd St Ste C, Newport, OR 97365-3646 Ph: (541) 234-3522 |
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