Ajitkumar N Jetmalani, MD in Portland, OR

Ajitkumar N Jetmalani, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Oregon Health And Sciences University/university Medical Group and his current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-6176.

Ajitkumar N Jetmalani is licensed to practice in Oregon (license number MD15652) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104994920.

Contact Information

	Ajitkumar N Jetmalani, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-6176
	(503) 494-6152

Map and Direction

Physician's Profile

Full Name	Ajitkumar N Jetmalani
Gender	Male
Speciality	Psychiatry
Experience	41 Years
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ajitkumar N Jetmalani attended and graduated from Oregon Health Sciences University School Of Medicine in 1983

NPI Data:

NPI Number: 1104994920
Provider Enumeration Date: 12/01/2006
Last Update Date: 12/11/2018

Medicare PECOS Information:

PECOS PAC ID: 7113026345
Enrollment ID: I20070628000283

Medical Identifiers

Medical identifiers for Ajitkumar N Jetmalani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104994920	NPI	-	NPPES
Z10716	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD15652 (Oregon)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD15652 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Health And Sciences University/university Medical Group	4880760107	1479

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. Ajitkumar N Jetmalani allows following entities to bill medicare on his behalf.

Entity Name	Legacy Emanuel Hospital & Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Ajitkumar N Jetmalani 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
Ajitkumar N Jetmalani, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-6176	Ajitkumar N Jetmalani, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-6176

Reviews and Comments

Psychiatry & Neurology Doctors in Portland, OR

Mikel Matto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2214 Lloyd Ctr, Portland, OR 97232 Phone: 503-494-4222 Fax: 503-494-6143
William James Hoppe, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13303 Nw Springville Rd, Portland, OR 97229 Phone: 503-910-2664
Dr. Robert Gene Mealer, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6176 Fax: 503-494-6152
Karina Rae Espana, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Dr. David Morrison Douglas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-721-1440
Margaret S Cary, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code Dc7p, Portland, OR 97239 Phone: 503-418-5775 Fax: 503-418-5774
Dr. Melissa Beth Buboltz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239 Phone: 503-494-8311

Ajitkumar N Jetmalani, MD - Medicare Psychiatry in Portland, OR