Jonathan Clarke, in Aloha, OR - Medicare Counselor Provider

Jonathan Clarke, is a medicare enrolled "Counselor - Mental Health" provider in Aloha, Oregon. His current practice location is 4585 Sw 185th Ave, Aloha, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 591-9280.

Jonathan Clarke is licensed to practice in * (Not Available) (license number ) 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 1790323350.

Contact Information

	Jonathan Clarke,
	4585 Sw 185th Ave, Aloha, OR 97078-1557
	(503) 591-9280
	(503) 848-2072

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Clarke
Gender	Male
Speciality	Counselor - Mental Health
Location	4585 Sw 185th Ave, Aloha, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790323350
Provider Enumeration Date: 12/13/2019
Last Update Date: 12/13/2019

Medicare PECOS Information:

PECOS PAC ID: 6901257187
Enrollment ID: I20240111004939

Medical Identifiers

Medical identifiers for Jonathan Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790323350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - 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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Clarke allows following entities to bill medicare on his behalf.

Entity Name	Tiffany Kettermann, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003461740 PECOS PAC ID: 0941685184 Enrollment ID: O20220923001810

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. Jonathan Clarke 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
Jonathan Clarke, 4585 Sw 185th Ave, Aloha, OR 97078-1557 Ph: (503) 591-9280	Jonathan Clarke, 4585 Sw 185th Ave, Aloha, OR 97078-1557 Ph: (503) 591-9280

Reviews and Comments

Counselor in Aloha, OR

Chelsea Lauren Bish, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97007 Phone: 503-619-1558
Nicole Renee Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-591-9280 Fax: 503-848-2072
Luis Garballos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 214-643-6820 Fax: 503-640-0387
Andrew Jon Davis, QMHP,MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4585 Sw 185th Ave, Aloha, OR 97007 Phone: 503-591-9280 Fax: 503-848-2072
Mr. Edward Liljeholm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97007 Phone: 503-591-9280
Ms. Theresa Ann Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20695 Sw Kinnaman Rd, Aloha, OR 97007 Phone: 503-591-8371
Molly Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-504-7129 Fax: 503-848-2072

Jonathan Clarke, - Medicare Counselor in Aloha, OR