Jamie Victoria Stevenson, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Tigard, Oregon. Her current practice location is
8915 Sw Center St, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 726-3740.
Jamie Victoria Stevenson is licensed to practice in Maryland (license number R167931) 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 1174757355.
Healthcare Provider's Profile
Full Name | Jamie Victoria Stevenson |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 8915 Sw Center St, Tigard, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174757355
- Provider Enumeration Date: 05/04/2009
- Last Update Date: 06/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153460472
- Enrollment ID: I20200924002896
Medical Identifiers
Medical identifiers for Jamie Victoria Stevenson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174757355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | R167931 (Maryland) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R167931 (Maryland) | 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. Jamie Victoria Stevenson allows following entities to bill medicare on her behalf.
Entity Name | New Narrative |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265595664 PECOS PAC ID: 6406759893 Enrollment ID: O20040202000276 |
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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. Jamie Victoria Stevenson 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 |
Jamie Victoria Stevenson, CRNP 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3740 | Jamie Victoria Stevenson, CRNP 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3740 |
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