Benjamin Everett, in Portland, OR - Medicare Nurse Anesthetist, Certified Registered

Benjamin Everett, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. 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) 494-7641.

Benjamin Everett is licensed to practice in Oregon (license number 10004622) 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 1477193019.

Contact Information

	Benjamin Everett,
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-7641
	(503) 494-4661

Map and Direction

Provider's Profile

Full Name	Benjamin Everett
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477193019
Provider Enumeration Date: 01/12/2020
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7810369865
Enrollment ID: I20230221000920

Medical Identifiers

Medical identifiers for Benjamin Everett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477193019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28220533A (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	10004622 (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. Benjamin Everett allows following entities to bill medicare on his behalf.

Entity Name	University Anesthesiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841217817 PECOS PAC ID: 6901702869 Enrollment ID: O20031210000967

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. Benjamin Everett 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
Benjamin Everett, 3181 Sw Sam Jackson Park Rd, Mail Code Sjh-2, Portland, OR 97239 Ph: (503) 494-4910	Benjamin Everett, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7641

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641
Stephen John Yermal, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1111 Ne 99th Ave, Suite 302, Portland, OR 97220 Phone: 503-963-2763

Benjamin Everett, - Medicare Nurse Anesthetist, Certified Registered in Portland, OR