Dr Jason Alan Johnson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. His current practice location is
1020 Sw Taylor St Ste 245, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 853-4998.
Dr Jason Alan Johnson is licensed to practice in Oregon (license number 3055) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669651543.
Healthcare Provider's Profile
| Full Name | Dr Jason Alan Johnson |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1020 Sw Taylor St Ste 245, 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: 1669651543
- Provider Enumeration Date: 10/29/2007
- Last Update Date: 06/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335500537
- Enrollment ID: I20230803004435
Medical Identifiers
Medical identifiers for Dr Jason Alan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669651543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 08-08-25 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3055 (Oregon) | Primary |
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 Jason Alan Johnson 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 Jason Alan Johnson, PSYD
1020 Sw Taylor St Ste 245,
Portland, OR 97205-2507
Ph: (503) 853-4998 | Dr Jason Alan Johnson, PSYD
1020 Sw Taylor St Ste 245,
Portland, OR 97205-2507
Ph: (503) 853-4998 |
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