Miss Kelli Grace Knudsen, MSW, QMHP in Oregon City, OR

Miss Kelli Grace Knudsen, MSW, QMHP is a medicare enrolled "Counselor - Mental Health" provider in Oregon City, Oregon. Her current practice location is 15544 S Clackamas River Dr, Oregon City, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 476-5439.

Miss Kelli Grace Knudsen is licensed to practice in * (Not Available) (license number ) 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 1841700366.

Contact Information

	Miss Kelli Grace Knudsen, MSW, QMHP
	15544 S Clackamas River Dr, Oregon City, OR 97045-9490
	(503) 476-5439
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Kelli Grace Knudsen
Gender	Female
Speciality	Counselor - Mental Health
Location	15544 S Clackamas River Dr, Oregon City, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841700366
Provider Enumeration Date: 10/11/2017
Last Update Date: 10/11/2017

Medicare PECOS Information:

PECOS PAC ID: 5597150219
Enrollment ID: I20220316001244

Medical Identifiers

Medical identifiers for Miss Kelli Grace Knudsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841700366	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. Miss Kelli Grace Knudsen allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Miss Kelli Grace Knudsen 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
Miss Kelli Grace Knudsen, MSW, QMHP 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 Ph: () -	Miss Kelli Grace Knudsen, MSW, QMHP 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 Ph: (503) 476-5439

Reviews and Comments

Counselor in Oregon City, OR

Mr. Thomas Michael Clute, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 Library Ct, Oregon City, OR 97045 Phone: 503-655-8264 Fax: 503-655-8428
Ellise D Parr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15544 Clackamas River Dr, Oregon City, OR 97045 Phone: 503-974-5820
Mrs. Sara Elizabeth Loos, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2051 Kaen Rd Ste 367, Oregon City, OR 97045 Phone: 503-742-5335
Paul C Deroche, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 998 Library Ct, Oregon City, OR 97045 Phone: 503-655-8401 Fax: 503-655-8429
Kelly Blixhavn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2051 Kaen Rd, Suite 367, Oregon City, OR 97045 Phone: 503-742-5335 Fax: 503-742-5304
Ms. Patricia Marie Jordan, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 21004 S Highway 213, Oregon City, OR 97045 Phone: 503-245-4175
Batinah A.r. Dawdy White, MS Counselor Medicare: Medicare Enrolled Practice Location: 37400 Bell Street, Oregon City, OR 97045 Phone: 503-668-3483

Miss Kelli Grace Knudsen, MSW, QMHP - Medicare Counselor in Oregon City, OR