Mrs Abigail Susanne Demchak, in Lebanon, OR - Medicare Social Worker Provider

Mrs Abigail Susanne Demchak, is a medicare enrolled "Social Worker" provider in Lebanon, Oregon. Her current practice location is 675 N 5th St Ste 200, Lebanon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 451-6282.

Mrs Abigail Susanne Demchak is licensed to practice in Oregon (license number L11038) 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 1043791270.

Contact Information

	Mrs Abigail Susanne Demchak,
	675 N 5th St Ste 200, Lebanon, OR 97355-2875
	(541) 451-6282
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Abigail Susanne Demchak
Gender	Female
Speciality	Social Worker
Location	675 N 5th St Ste 200, Lebanon, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043791270
Provider Enumeration Date: 08/25/2018
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 0042696650
Enrollment ID: I20221005002667

Medical Identifiers

Medical identifiers for Mrs Abigail Susanne Demchak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043791270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
104100000X	Social Worker	L11038 (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. Mrs Abigail Susanne Demchak allows following entities to bill medicare on her behalf.

Entity Name	Mid-valley Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297

Entity Name	Mid-valley Healthcare Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140

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. Mrs Abigail Susanne Demchak 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
Mrs Abigail Susanne Demchak, Po Box 1193, Corvallis, OR 97339-1193 Ph: () -	Mrs Abigail Susanne Demchak, 675 N 5th St Ste 200, Lebanon, OR 97355-2875 Ph: (541) 451-6282

Mrs Abigail Susanne Demchak, - Medicare Counselor in Lebanon, OR