Valeria Lf Clarke, LCSW, CADC II is a medicare enrolled "Social Worker - Clinical" provider in Cottage Grove, Oregon. Her current practice location is
55 S 17th St, Cottage Grove, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 649-1877.
Valeria Lf Clarke is licensed to practice in Oregon (license number L4799) 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 1427370139.
Healthcare Provider's Profile
| Full Name | Valeria Lf Clarke |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 55 S 17th St, Cottage Grove, 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: 1427370139
- Provider Enumeration Date: 02/22/2010
- Last Update Date: 09/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 8628305489
- Enrollment ID: I20190816001102
Medical Identifiers
Medical identifiers for Valeria Lf Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427370139 | NPI | - | NPPES |
| 019047 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 09-12-59U (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L4799 (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. Valeria Lf Clarke allows following entities to bill medicare on her behalf.
| Entity Name | Peacehealth Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447207287
PECOS PAC ID: 9032023270
Enrollment ID: O20031113000097 |
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| Entity Name | Peacehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902892391
PECOS PAC ID: 1254242357
Enrollment ID: O20040513000725 |
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| Entity Name | Peacehealth Medical Group Cottage Grove |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780631267
PECOS PAC ID: 9436060530
Enrollment ID: O20040616001333 |
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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. Valeria Lf Clarke 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 |
|---|
Valeria Lf Clarke, LCSW, CADC II
314 S 13th St,
Cottage Grove, OR 97424-2315
Ph: (541) 915-2690 | Valeria Lf Clarke, LCSW, CADC II
55 S 17th St,
Cottage Grove, OR 97424
Ph: (541) 649-1877 |
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