Madison Lily Roberts, SUDP is a medicare enrolled "Social Worker - Clinical" provider in Newport, Washington. Her current practice location is
714 W Pine St Bldg C, Newport, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 447-3139.
Madison Lily Roberts is licensed to practice in * (Not Available) (license number ) 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 1932600111.
Healthcare Provider's Profile
| Full Name | Madison Lily Roberts |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 714 W Pine St Bldg C, Newport, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1932600111
- Provider Enumeration Date: 02/23/2018
- Last Update Date: 09/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486022431
- Enrollment ID: I20221122002136
Medical Identifiers
Medical identifiers for Madison Lily Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932600111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (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. Madison Lily Roberts allows following entities to bill medicare on her behalf.
| Entity Name | Pend Oreille County Public Hospital District No 1 |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1427264795
PECOS PAC ID: 3274431184
Enrollment ID: O20031230000017 |
|---|
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. Madison Lily Roberts 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 |
|---|
Madison Lily Roberts, SUDP
27 E Sapphire Ln,
Spokane, WA 99208-6028
Ph: (509) 435-5411 | Madison Lily Roberts, SUDP
714 W Pine St Bldg C,
Newport, WA 99156-9046
Ph: (509) 447-3139 |
Reviews and Comments