Dominique Francesca Mann, AGACNP- BC in Portland, OR

Dominique Francesca Mann, AGACNP- BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Portland, Oregon. Her current practice location is 4400 Ne Halsey St Ste 102, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 962-1000.

Dominique Francesca Mann is licensed to practice in Oregon (license number 10004407) 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 1942998612.

Contact Information

	Dominique Francesca Mann, AGACNP- BC
	4400 Ne Halsey St Ste 102, Portland, OR 97213-1545
	(503) 962-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Francesca Mann
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	4400 Ne Halsey St Ste 102, 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: 1942998612
Provider Enumeration Date: 05/01/2023
Last Update Date: 02/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2365899051
Enrollment ID: I20231117001868

Medical Identifiers

Medical identifiers for Dominique Francesca Mann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942998612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	10004407 (Oregon)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95021689 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	10004407 (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. Dominique Francesca Mann allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

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. Dominique Francesca Mann 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
Dominique Francesca Mann, AGACNP- BC Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Dominique Francesca Mann, AGACNP- BC 4400 Ne Halsey St Ste 102, Portland, OR 97213-1545 Ph: (503) 962-1000

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
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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

Dominique Francesca Mann, AGACNP- BC - Medicare Nurse Practitioner in Portland, OR