William G Utley, LCSW, CADCII, CPS is a medicare enrolled "Social Worker - Clinical" provider in Klamath Falls, Oregon. His current practice location is
2821 Daggett Ave Ste 100, Klamath Falls, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 274-6733.
William G Utley is licensed to practice in Oregon (license number L7755) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790026490.
Healthcare Provider's Profile
| Full Name | William G Utley |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2821 Daggett Ave Ste 100, Klamath Falls, 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: 1790026490
- Provider Enumeration Date: 03/06/2013
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759646896
- Enrollment ID: I20180521001306
Medical Identifiers
Medical identifiers for William G Utley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790026490 | NPI | - | NPPES |
| 1114058898 | Medicaid | OR | |
| 1720105489 | Medicaid | OR | |
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 | L7755 (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. William G Utley allows following entities to bill medicare on his behalf.
| Entity Name | Sky Lakes Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659340370
PECOS PAC ID: 1052204096
Enrollment ID: O20040204000577 |
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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. William G Utley 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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William G Utley, LCSW, CADCII, CPS
Po Box 1337,
Klamath Falls, OR 97601-0395
Ph: (541) 891-4533 | William G Utley, LCSW, CADCII, CPS
2821 Daggett Ave Ste 100,
Klamath Falls, OR 97601-1130
Ph: (541) 274-6733 |
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