Miss Lupita Pena-baltazar, QMHA in Woodburn, OR

Miss Lupita Pena-baltazar, QMHA is a medicare enrolled "Counselor - Mental Health" provider in Woodburn, Oregon. Her current practice location is 1310 Meridian Dr, Woodburn, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 953-0310.

Miss Lupita Pena-baltazar is licensed to practice in * (Not Available) (license number ) 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 1104050947.

Contact Information

	Miss Lupita Pena-baltazar, QMHA
	1310 Meridian Dr, Woodburn, OR 97071-9668
	(503) 953-0310
	(503) 386-0439

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Lupita Pena-baltazar
Gender	Female
Speciality	Counselor - Mental Health
Location	1310 Meridian Dr, Woodburn, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104050947
Provider Enumeration Date: 05/07/2009
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 9335513431
Enrollment ID: I20230313000272

Medical Identifiers

Medical identifiers for Miss Lupita Pena-baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104050947	NPI	-	NPPES
L10733	Other		OREGON BOARD OF LICENSED SOCIAL WORKERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary

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. Miss Lupita Pena-baltazar allows following entities to bill medicare on her behalf.

Entity Name	Brightways Counseling Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689191165 PECOS PAC ID: 4688907827 Enrollment ID: O20190603003122

Entity Name	Brightways Counseling Group At Woodburn Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457930760 PECOS PAC ID: 6103299284 Enrollment ID: O20230310002561

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. Miss Lupita Pena-baltazar 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
Miss Lupita Pena-baltazar, QMHA 2299 F St, Hubbard, OR 97032-9678 Ph: (503) 361-2720	Miss Lupita Pena-baltazar, QMHA 1310 Meridian Dr, Woodburn, OR 97071-9668 Ph: (503) 953-0310

Reviews and Comments

Counselor in Woodburn, OR

Barbara Patino Flores, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Meridian Dr, Woodburn, OR 97071 Phone: 503-498-5476 Fax: 503-498-5810
Tammy Cook, Counselor Medicare: Medicare Enrolled Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 Fax: 503-982-2000
Annika Michele Johnson Campbell, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 509-662-6000
Daniel Alvarado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 399 Young St, Woodburn, OR 97071 Phone: 503-238-0769
Johnnie Calista Burt, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 N Pacific Hwy, Woodburn, OR 97071 Phone: 503-980-5322
Mr. Stephen Joseph Comella, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1475 Mt. Hood Ave, Woodburn, OR 97071 Phone: 971-983-5214

Miss Lupita Pena-baltazar, QMHA - Medicare Counselor in Woodburn, OR