Dr Melanie Ann Henriksen, CNM, ND, LAC is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" provider in Portland, Oregon. Her current practice location is
1106 Nw Frazier Ct, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 740-4541.
Dr Melanie Ann Henriksen is licensed to practice in Oregon (license number 200950104NP) 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 1881757540.
Healthcare Provider's Profile
| Full Name | Dr Melanie Ann Henriksen |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Obstetrics & Gynecology |
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| Location | 1106 Nw Frazier Ct, Portland, 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: 1881757540
- Provider Enumeration Date: 12/17/2006
- Last Update Date: 03/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 8123438793
- Enrollment ID: I20201110002460
Medical Identifiers
Medical identifiers for Dr Melanie Ann Henriksen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881757540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC00942 (Oregon) | Secondary |
| 175F00000X | Naturopath | 1423 (Oregon) | Secondary |
| 163W00000X | Registered Nurse | 200743309RN (Oregon) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 200950104NP (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. Dr Melanie Ann Henriksen allows following entities to bill medicare on her behalf.
| Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799 |
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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. Dr Melanie Ann Henriksen 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 |
|---|
Dr Melanie Ann Henriksen, CNM, ND, LAC
1106 Nw Frazier Ct,
Portland, OR 97229-8487
Ph: (503) 740-4541 | Dr Melanie Ann Henriksen, CNM, ND, LAC
1106 Nw Frazier Ct,
Portland, OR 97229-8487
Ph: (503) 740-4541 |
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