Miss Lupita Pena-baltazar, QMHA - Medicare Counselor in Woodburn, OR

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Miss Lupita Pena-baltazar, QMHA is a medicare enrolled "Social Worker - Clinical" provider in Woodburn, Oregon. Her current practice location is 1310 Meridian Dr, Woodburn, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 953-0310.

Miss Lupita Pena-baltazar is licensed to practice in Oregon (license number L10733) 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 1104050947.

Contact Information

Miss Lupita Pena-baltazar, QMHA
1310 Meridian Dr,
Woodburn, OR 97071-9668
(503) 953-0310
(503) 386-0439

Map and Direction


Healthcare Provider's Profile

Full NameMiss Lupita Pena-baltazar
GenderFemale
SpecialitySocial Worker - Clinical
Location1310 Meridian Dr, Woodburn, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104050947
  • Provider Enumeration Date: 05/07/2009
  • Last Update Date: 04/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9335513431
  • Enrollment ID: I20230313000272

Medical Identifiers

Medical identifiers for Miss Lupita Pena-baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104050947NPI-NPPES
L10733OtherOREGON BOARD OF LICENSED SOCIAL WORKERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical L10733 (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. Miss Lupita Pena-baltazar allows following entities to bill medicare on her behalf.
Entity NameBrightways Counseling Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689191165
PECOS PAC ID: 4688907827
Enrollment ID: O20190603003122
Entity NameBrightways Counseling Group At Woodburn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457930760
PECOS PAC ID: 6103299284
Enrollment ID: O20230310002561

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. Miss Lupita Pena-baltazar 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 AddressPractice Location Address
Miss Lupita Pena-baltazar, QMHA
7515 Falcon Crest Dr # 200,
Redmond, OR 97756-5014

Ph: (541) 904-5216		Miss Lupita Pena-baltazar, QMHA
1310 Meridian Dr,
Woodburn, OR 97071-9668

Ph: (503) 953-0310

Reviews and Comments


Social Worker in Woodburn, OR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.