Mrs Kelly Beth Perez De La Cruz, MSW, LCSW - Medicare Clinical Social Worker in Beaverton, OR

Mrs Kelly Beth Perez De La Cruz, MSW, LCSW is a medicare enrolled "Social Worker" provider in Beaverton, Oregon. Her current practice location is 1500 Nw Bethany Blvd Ste 320, Beaverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 567-3260.

Mrs Kelly Beth Perez De La Cruz 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 1457788523.

Contact Information

Mrs Kelly Beth Perez De La Cruz, MSW, LCSW
1500 Nw Bethany Blvd Ste 320,
Beaverton, OR 97006-5238
(503) 567-3260
Not Available



Healthcare Provider's Profile

Full NameMrs Kelly Beth Perez De La Cruz
GenderFemale
SpecialitySocial Worker
Location1500 Nw Bethany Blvd Ste 320, Beaverton, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457788523
  • Provider Enumeration Date: 10/03/2013
  • Last Update Date: 04/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749613925
  • Enrollment ID: I20191202000616

Medical Identifiers

Medical identifiers for Mrs Kelly Beth Perez De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457788523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical L7818 (Oregon)Secondary
104100000XSocial Worker (* (Not Available))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. Mrs Kelly Beth Perez De La Cruz allows following entities to bill medicare on her behalf.
Entity NameWestern Psychological And Counseling Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912008178
PECOS PAC ID: 7719975085
Enrollment ID: O20040505000049

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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. Mrs Kelly Beth Perez De La Cruz 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 AddressPractice Location Address
Mrs Kelly Beth Perez De La Cruz, MSW, LCSW
1188 Se 62nd Ave,
Hillsboro, OR 97123-2967

Ph: (360) 430-0863
Mrs Kelly Beth Perez De La Cruz, MSW, LCSW
1500 Nw Bethany Blvd Ste 320,
Beaverton, OR 97006-5238

Ph: (503) 567-3260

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Social Worker in Beaverton, OR

Alan Hershman, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 14255 Sw Brigadoon Ct Ste 80, Beaverton, OR 97005
Phone: 503-641-1475    
Carla E Fadriquela, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2980 Sw 123rd Ave, Beaverton, OR 97005
Phone: 808-281-4616    
Tiffanie B Galupi, CSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1925 Ne Stucki Ave, Beaverton, OR 97006
Phone: 503-906-5000    
Stephanie Anne Cox, CSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6900 Sw 105th Ave Ste B, Beaverton, OR 97008
Phone: 541-638-0830    
Ms. Aja Riley Bennett, MSW, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 15270 Sw Mallard Dr Ste 101, Beaverton, OR 97007
Phone: 214-454-1447    
Tucker Hardy, MSW, CSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10700 Sw Beaverton Hillsdale Hwy Ste 350, Beaverton, OR 97005
Phone: 971-279-2067    Fax: 971-302-6956
Jessica Edit Villasenor, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4537 Sw 96th Ave, Beaverton, OR 97005
Phone: 503-376-9520    

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