Jessica Mosher, PSYD is a medicare enrolled "Psychologist" provider in Portland, Oregon. Her current practice location is
3550 N Interstate Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(800) 813-2000.
Jessica Mosher is licensed to practice in California (license number 28334) 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 1306288790.
Healthcare Provider's Profile
Full Name | Jessica Mosher |
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Gender | Female |
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Speciality | Psychologist |
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Location | 3550 N Interstate Ave, 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. |
NPI Data:
- NPI Number: 1306288790
- Provider Enumeration Date: 07/25/2013
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365720141
- Enrollment ID: I20190911001474
Medical Identifiers
Medical identifiers for Jessica Mosher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306288790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 28334 (California) | 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. Jessica Mosher allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity 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. Jessica Mosher 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 |
Jessica Mosher, PSYD 1627 Jackson St Apt 7, San Francisco, CA 94109-3011 Ph: () - | Jessica Mosher, PSYD 3550 N Interstate Ave, Portland, OR 97227-1196 Ph: (800) 813-2000 |
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