Waxwing Psychotherapy Limited Liability Partnership - Medicare Mental Health Clinic in Polson, MT

Waxwing Psychotherapy Limited Liability Partnership is a medicare enrolled mental health clinic (Social Worker - Clinical) in Polson, Montana. The current practice location for Waxwing Psychotherapy Limited Liability Partnership is 2 6th Ave E, Polson, Montana. For appointments, you can reach them via phone at (406) 241-1693. The mailing address for Waxwing Psychotherapy Limited Liability Partnership is 2 6th Ave E, Polson, Montana and phone number is (406) 241-1693.

Waxwing Psychotherapy Limited Liability Partnership is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669941936. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (406) 241-1693.

Contact Information

Waxwing Psychotherapy Limited Liability Partnership
2 6th Ave E
Polson
MT 59860-2726
(406) 241-1693
Not Available

Mental Health Clinic Profile

Full NameWaxwing Psychotherapy Limited Liability Partnership
SpecialitySocial Worker
Location2 6th Ave E, Polson, Montana
Authorized Official Name and PositionSamuel Ore (OWNER)
Authorized Official Contact4062411693
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Waxwing Psychotherapy Limited Liability Partnership
2 6th Ave E
Polson
MT 59860-2726

Ph: (406) 241-1693
Waxwing Psychotherapy Limited Liability Partnership
2 6th Ave E
Polson
MT 59860-2726

Ph: (406) 241-1693

NPI Details:

NPI Number1669941936
Provider Enumeration Date11/16/2018
Last Update Date06/05/2020
Certification Date06/05/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4183045651
Medicare Enrollment IDO20200609002194

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Medical Identifiers

Medical identifiers for Waxwing Psychotherapy Limited Liability Partnership such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669941936NPI-NPPES
1568842060MedicaidMT
1215405246MedicaidMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (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. Waxwing Psychotherapy Limited Liability Partnership acts as a billing entity for following providers:
Provider NameSamuel Hepburn Ore
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215405246
PECOS PAC ID: 5092136564
Enrollment ID: I20200612002462

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Provider NameLeah Mack Ore
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568842060
PECOS PAC ID: 0446671911
Enrollment ID: I20201008001762

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