Jacquelyn Taylor Blackwell, MS in Lake Oswego, OR

Jacquelyn Taylor Blackwell, MS is a medicare enrolled "Counselor - Professional" provider in Lake Oswego, Oregon. Her current practice location is 5285 Sw Meadows Rd, Suite 170, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 726-5216.

Jacquelyn Taylor Blackwell is licensed to practice in Oregon (license number C4984) 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 1194178830.

Contact Information

	Jacquelyn Taylor Blackwell, MS
	5285 Sw Meadows Rd, Suite 170, Lake Oswego, OR 97035
	(503) 726-5216
	(503) 726-5218

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Taylor Blackwell
Gender	Female
Speciality	Counselor - Professional
Location	5285 Sw Meadows Rd, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194178830
Provider Enumeration Date: 07/18/2016
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0941646889
Enrollment ID: I20240313003037

Medical Identifiers

Medical identifiers for Jacquelyn Taylor Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194178830	NPI	-	NPPES
500715046	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	19-02-02 (Oregon)	Secondary
101YP2500X	Counselor - Professional	C4984 (Oregon)	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. Jacquelyn Taylor Blackwell allows following entities to bill medicare on her behalf.

Entity Name	Sapphire Blue Behavioral Health Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558839068 PECOS PAC ID: 7911358775 Enrollment ID: O20240105003842

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. Jacquelyn Taylor Blackwell 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
Jacquelyn Taylor Blackwell, MS 5285 Sw Meadows Rd, Suite 170, Lake Oswego, OR 97035 Ph: (503) 726-5216	Jacquelyn Taylor Blackwell, MS 5285 Sw Meadows Rd, Suite 170, Lake Oswego, OR 97035 Ph: (503) 726-5216

Reviews and Comments

Counselor in Lake Oswego, OR

Jessica Morgenthaler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Monroe Pkwy Ste 270, Lake Oswego, OR 97035 Phone: 503-675-2830 Fax: 503-675-2852
Isabel Deaver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Foothills Rd, Lake Oswego, OR 97034 Phone: 503-972-0436
Margaret Maire Dillon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Dr., Lake Oswego, OR 97034 Phone: 503-635-3416
Jaquelyn Victoria Reyes Alonzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Dr, Lake Oswego, OR 97034 Phone: 503-635-3416
Mrs. Heather Mae Lokteff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4800 Sw Meadows Rd,, Suite 300, Lake Oswego, OR 97035 Phone: 503-806-2012
John Milner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Drive, Lake Oswego, OR 97034 Phone: 503-635-3416
Ms. Rachel Diane White, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Drive, Lake Oswego, OR 97034 Phone: 503-675-2247

Jacquelyn Taylor Blackwell, MS - Medicare Counselor in Lake Oswego, OR