Ms Susan De Tarr, MSW, CADC 1 is a medicare enrolled "Social Worker - Clinical" provider in Albany, Oregon. Her current practice location is
2225 Pacific Blvd Se Ste 101, Albany, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 655-8264.
Ms Susan De Tarr is licensed to practice in Oregon (license number L5953) 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 1104006725.
Healthcare Provider's Profile
Full Name | Ms Susan De Tarr |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2225 Pacific Blvd Se Ste 101, Albany, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104006725
- Provider Enumeration Date: 11/12/2007
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173750411
- Enrollment ID: I20160727001117
Medical Identifiers
Medical identifiers for Ms Susan De Tarr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104006725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L5953 (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. Ms Susan De Tarr allows following entities to bill medicare on her behalf.
Entity Name | Clackamas County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841443587 PECOS PAC ID: 9537065560 Enrollment ID: O20031210000827 |
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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. Ms Susan De Tarr 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 |
Ms Susan De Tarr, MSW, CADC 1 2225 Pacific Blvd Se Ste 101, Albany, OR 97321-7903 Ph: () - | Ms Susan De Tarr, MSW, CADC 1 2225 Pacific Blvd Se Ste 101, Albany, OR 97321-7903 Ph: (503) 655-8264 |
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