Jill/ Ellen Conrad, MA, LMFT in Salem, OR - Medicare Marriage & Family Therapist Provider

Jill/ Ellen Conrad, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Salem, Oregon. Her current practice location is 1300 Broadway St. Ne, Ste # 409, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 370-8050.

Jill/ Ellen Conrad is licensed to practice in Oregon (license number T0731) 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 1174825855.

Contact Information

	Jill/ Ellen Conrad, MA, LMFT
	1300 Broadway St. Ne, Ste # 409, Salem, OR 97301-9730
	(503) 370-8050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jill/ Ellen Conrad
Gender	Female
Speciality	Marriage & Family Therapist
Location	1300 Broadway St. Ne, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174825855
Provider Enumeration Date: 12/01/2010
Last Update Date: 12/01/2010

Medicare PECOS Information:

PECOS PAC ID: 3173965076
Enrollment ID: I20240523001645

Medical Identifiers

Medical identifiers for Jill/ Ellen Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174825855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	T0731 (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. Jill/ Ellen Conrad allows following entities to bill medicare on her behalf.

Entity Name	Salem Pastoral Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992842850 PECOS PAC ID: 3577902287 Enrollment ID: O20240415001262

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. Jill/ Ellen Conrad 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
Jill/ Ellen Conrad, MA, LMFT 1300 Broadway Street Ne Suite #409, Salem, OR 97301 Ph: (503) 370-8050	Jill/ Ellen Conrad, MA, LMFT 1300 Broadway St. Ne, Ste # 409, Salem, OR 97301-9730 Ph: (503) 370-8050

Reviews and Comments

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Jill/ Ellen Conrad, MA, LMFT - Medicare Couples Therapy in Salem, OR