Tasha Willoughby, is a medicare enrolled "Social Worker" provider in Walla Walla, Washington. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Yakima Valley Farm Workers Clinic and her current practice location is
1120 W Rose St, Walla Walla, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 525-6650.
Tasha Willoughby is licensed to practice in Washington (license number LW60761649) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619454030.
Healthcare Provider's Profile
| Full Name | Tasha Willoughby |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 1120 W Rose St, Walla Walla, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tasha Willoughby graduated from medical school in 2013
NPI Data:
- NPI Number: 1619454030
- Provider Enumeration Date: 07/27/2018
- Last Update Date: 02/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042558298
- Enrollment ID: I20190213000937
Medical Identifiers
Medical identifiers for Tasha Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619454030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 60472656 (Washington) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | LW60761649 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Yakima Valley Farm Workers Clinic | 4385541986 | 206 |
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. Tasha Willoughby allows following entities to bill medicare on her behalf.
| Entity Name | Yakima Valley Farm Workers Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295788602
PECOS PAC ID: 4385541986
Enrollment ID: O20040211000663 |
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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. Tasha Willoughby 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 |
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Tasha Willoughby,
1120 W Rose St,
Walla Walla, WA 99362-1662
Ph: (509) 525-6650 | Tasha Willoughby,
1120 W Rose St,
Walla Walla, WA 99362-1662
Ph: (509) 525-6650 |
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