Courtney Ann Mccallum, APRN PMHNP in Portland, OR

Courtney Ann Mccallum, APRN PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 14305 Sw 112th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 660-2418.

Courtney Ann Mccallum is licensed to practice in Oregon (license number 10025683) 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 1538315015.

Contact Information

	Courtney Ann Mccallum, APRN PMHNP
	14305 Sw 112th Ave, Portland, OR 97224-3705
	(503) 660-2418
	Not Available

Map and Direction

Provider's Profile

Full Name	Courtney Ann Mccallum
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	14305 Sw 112th Ave, 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: 1538315015
Provider Enumeration Date: 08/15/2008
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 3274077003
Enrollment ID: I20240703000698

Medical Identifiers

Medical identifiers for Courtney Ann Mccallum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538315015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	200841828RN (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10025683 (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. Courtney Ann Mccallum allows following entities to bill medicare on her behalf.

Entity Name	Les Is More Mental Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295369841 PECOS PAC ID: 1759791684 Enrollment ID: O20201104003142

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. Courtney Ann Mccallum 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
Courtney Ann Mccallum, APRN PMHNP 14305 Sw 112th Ave, Portland, OR 97224-3705 Ph: (503) 660-2418	Courtney Ann Mccallum, APRN PMHNP 14305 Sw 112th Ave, Portland, OR 97224-3705 Ph: (503) 660-2418

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: 1220 Sw Morrison St Ste 730, Portland, OR 97205 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

Courtney Ann Mccallum, APRN PMHNP - Medicare Nurse Practitioner in Portland, OR