Kaizen Collective is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Beaverton, Oregon. Their current practice location is
14845 Sw Murray Scholls Dr Ste 110, Beaverton, Oregon. You can reach out to their office (for appointments etc.) via phone at
(360) 836-0171.
Kaizen Collective is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kaizen Collective
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1447925367.
Healthcare Provider's Profile
| Full Name | Kaizen Collective |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 14845 Sw Murray Scholls Dr Ste 110, Beaverton, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1447925367
- Provider Enumeration Date: 08/12/2021
- Last Update Date: 09/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406254846
- Enrollment ID: O20211014003034
Medical Identifiers
Medical identifiers for Kaizen Collective such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447925367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (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.
Kaizen Collective acts as a billing entity for following providers:
| Provider Name | Molly Rodden |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1144620295
PECOS PAC ID: 4880916972
Enrollment ID: I20171218001806 |
|---|
| Provider Name | Oscar Ramos |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1396313177
PECOS PAC ID: 9931507605
Enrollment ID: I20211011001169 |
|---|
| Provider Name | Abdoulle O Jallow |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1720409394
PECOS PAC ID: 0749678654
Enrollment ID: I20211026002718 |
|---|
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. Kaizen Collective 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 |
|---|
Kaizen Collective
14845 Sw Murray Scholls Dr., Ste. 110, Pmb 412,
Beaverton, OR 97007-0412
Ph: (360) 836-0171 | Kaizen Collective
14845 Sw Murray Scholls Dr Ste 110,
Beaverton, OR 97007-9237
Ph: (360) 836-0171 |
Reviews and Comments