Lacey Faughender, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salem, Oregon. Her current practice location is
161 High St Se Ste 202, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 902-5930.
Lacey Faughender is licensed to practice in Oregon (license number L7417) 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 1891102562.
Healthcare Provider's Profile
| Full Name | Lacey Faughender |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 161 High St Se Ste 202, Salem, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1891102562
- Provider Enumeration Date: 07/15/2014
- Last Update Date: 06/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214202050
- Enrollment ID: I20171004003276
Medical Identifiers
Medical identifiers for Lacey Faughender such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891102562 | NPI | - | NPPES |
| 500685336 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | L7417 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L7417 (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. Lacey Faughender allows following entities to bill medicare on her behalf.
| Entity Name | Branches Of Change Counseling Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770202517
PECOS PAC ID: 4183091721
Enrollment ID: O20221110001262 |
|---|
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. Lacey Faughender 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 |
|---|
Lacey Faughender, LCSW
Po Box 831,
Jefferson, OR 97352-0831
Ph: (503) 902-5930 | Lacey Faughender, LCSW
161 High St Se Ste 202,
Salem, OR 97301-3610
Ph: (503) 902-5930 |
Reviews and Comments