Cary Shore, ARNP, PMHNP-BC in Portland, OR - Medicare Nurse Practitioner

Cary Shore, ARNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 555 Se Martin Luther King Jr Blvd Ste 105, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 664-9451.

Cary Shore is licensed to practice in Oregon (license number 201903897NP-PP) 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 1346765880.

Contact Information

	Cary Shore, ARNP, PMHNP-BC
	555 Se Martin Luther King Jr Blvd Ste 105, Portland, OR 97214-2120
	(503) 664-9451
	(503) 386-3230

Map and Direction

Provider's Profile

Full Name	Cary Shore
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	555 Se Martin Luther King Jr Blvd Ste 105, 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: 1346765880
Provider Enumeration Date: 08/06/2017
Last Update Date: 04/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4385904515
Enrollment ID: I20180208002470

Medical Identifiers

Medical identifiers for Cary Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346765880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60468151 (Washington)	Secondary
163W00000X	Registered Nurse	201902708RN (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2017010049 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201903897NP-PP (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. Cary Shore allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Cary Shore 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
Cary Shore, ARNP, PMHNP-BC 3055 Nw Yeon Ave Suite 606, Portland, OR 97210 Ph: (503) 664-9451	Cary Shore, ARNP, PMHNP-BC 555 Se Martin Luther King Jr Blvd Ste 105, Portland, OR 97214-2120 Ph: (503) 664-9451

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Cary Shore, ARNP, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR