Tina Roberts, is a medicare enrolled "Social Worker - Clinical" provider in Toppenish, Washington. Her current practice location is
510 W 1st Ave, Toppenish, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 865-5600.
Tina Roberts is licensed to practice in Washington (license number LW60946665) 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 1952790537.
Healthcare Provider's Profile
Full Name | Tina Roberts |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 510 W 1st Ave, Toppenish, Washington |
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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: 1952790537
- Provider Enumeration Date: 01/20/2015
- Last Update Date: 03/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375973357
- Enrollment ID: I20200414003225
Medical Identifiers
Medical identifiers for Tina Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952790537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | SC60464130 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LW60946665 (Washington) | 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. Tina Roberts 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. Tina Roberts 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 |
Tina Roberts, 510 W 1st Ave, Toppenish, WA 98948-1564 Ph: (509) 865-5600 | Tina Roberts, 510 W 1st Ave, Toppenish, WA 98948-1564 Ph: (509) 865-5600 |
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