Mr Todd B Jeter, LCSW, CADC III is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. His current practice location is
1445 Willamette St Ste 3, Eugene, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 234-3090.
Mr Todd B Jeter is licensed to practice in Oregon (license number L10427) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104361534.
Healthcare Provider's Profile
| Full Name | Mr Todd B Jeter |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1445 Willamette St Ste 3, Eugene, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104361534
- Provider Enumeration Date: 12/20/2016
- Last Update Date: 05/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456765056
- Enrollment ID: I20210121002491
Medical Identifiers
Medical identifiers for Mr Todd B Jeter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104361534 | NPI | - | NPPES |
| 500731705 | Medicaid | OR | |
| 500725923 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16-11-18 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19-01-20 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L10427 (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. Mr Todd B Jeter allows following entities to bill medicare on his behalf.
| Entity Name | Fjord Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972216877
PECOS PAC ID: 1658711015
Enrollment ID: O20240502000064 |
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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 Todd B Jeter 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 Todd B Jeter, LCSW, CADC III
Po Box 40142,
Eugene, OR 97404-0020
Ph: (541) 234-3090 | Mr Todd B Jeter, LCSW, CADC III
1445 Willamette St Ste 3,
Eugene, OR 97401-4087
Ph: (541) 234-3090 |
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