Kelli Gentry Wright, MS is a medicare enrolled "Social Worker - Clinical" provider in Baker City, Oregon. She graduated from healthcare school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice New Directions Northwest Inc and her current practice location is
3425 13th St, Baker City, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 523-7400.
Kelli Gentry Wright is licensed to practice in Oregon (license number L6031) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407090822.
Healthcare Provider's Profile
| Full Name | Kelli Gentry Wright |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 25 Years |
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| Location | 3425 13th St, Baker City, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelli Gentry Wright graduated from medical school in 1999
NPI Data:
- NPI Number: 1407090822
- Provider Enumeration Date: 04/29/2009
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335468792
- Enrollment ID: I20150506001237
Medical Identifiers
Medical identifiers for Kelli Gentry Wright such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407090822 | NPI | - | NPPES |
| 014274 | Medicaid | OR | |
| 4490398 | Other | OR | DRIVERS LICENSE |
| 500699801 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-23-3419 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L6031 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| New Directions Northwest Inc | 0446572721 | 4 |
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. Kelli Gentry Wright allows following entities to bill medicare on her behalf.
| Entity Name | New Directions Northwest Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235124462
PECOS PAC ID: 0446572721
Enrollment ID: O20141124001911 |
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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. Kelli Gentry Wright 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 |
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Kelli Gentry Wright, MS
3425 13th St,
Baker City, OR 97814-1340
Ph: (541) 523-7400 | Kelli Gentry Wright, MS
3425 13th St,
Baker City, OR 97814-1340
Ph: (541) 523-7400 |
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