Mr Jasper Damien Williams, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Corvallis, Oregon. He graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Salem Clinic, Pc and his current practice location is
3509 Nw Samaritan Dr Ste 215, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 768-5235.
Mr Jasper Damien Williams is licensed to practice in Oregon (license number L12739) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295237899.
Healthcare Provider's Profile
Full Name | Mr Jasper Damien Williams |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 7 Years |
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Location | 3509 Nw Samaritan Dr Ste 215, Corvallis, Oregon |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Jasper Damien Williams graduated from medical school in 2017
NPI Data:
- NPI Number: 1295237899
- Provider Enumeration Date: 02/28/2018
- Last Update Date: 11/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224427414
- Enrollment ID: I20211109002152
Medical Identifiers
Medical identifiers for Mr Jasper Damien Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295237899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LMSW-37446 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | L12739 (Oregon) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Salem Clinic, Pc | 7517954514 | 87 |
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. Mr Jasper Damien Williams allows following entities to bill medicare on his behalf.
Entity Name | Salem Clinic, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150 |
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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. Mr Jasper Damien Williams 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 |
Mr Jasper Damien Williams, LMSW Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Mr Jasper Damien Williams, LMSW 3509 Nw Samaritan Dr Ste 215, Corvallis, OR 97330-3893 Ph: (541) 768-5235 |
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