Jean A Daniels, LCSW, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Portland, Oregon. She went to Oregon Health Sciences University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Salem Psychiatric Associates Pc and her current practice location is
3439 Ne Sandy Blvd, Pmb 375, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 284-8841.
Jean A Daniels is licensed to practice in Oregon (license number 201391588NP-PP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558490441.
Healthcare Provider's Profile
| Full Name | Jean A Daniels |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 3439 Ne Sandy Blvd, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jean A Daniels attended and graduated from Oregon Health Sciences University School Of Medicine in 2013
NPI Data:
- NPI Number: 1558490441
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 10/24/2016
Medicare PECOS Information:
- PECOS PAC ID: 5496994097
- Enrollment ID: I20130611000611
Medical Identifiers
Medical identifiers for Jean A Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558490441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | L3975 (Oregon) | Secondary |
| 163W00000X | Registered Nurse | 201142799RN (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 201391588NP-PP (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Salem Psychiatric Associates Pc | 6002702420 | 19 |
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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. Jean A Daniels allows following entities to bill medicare on her behalf.
| Entity Name | Salem Psychiatric Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619061314
PECOS PAC ID: 6002702420
Enrollment ID: O20040430000049 |
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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. Jean A Daniels 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 |
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Jean A Daniels, LCSW, PMHNP-BC
9155 Sw Barnes Rd, Suite 418,
Portland, OR 97225-6625
Ph: (971) 270-0995 | Jean A Daniels, LCSW, PMHNP-BC
3439 Ne Sandy Blvd, Pmb 375,
Portland, OR 97232-1959
Ph: (503) 284-8841 |
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