Elise J Mahoney, FNP, PMHNP-BC in Portland, OR

Elise J Mahoney, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon, Providence Health And Services Oregon and her current practice location is 1321 Ne 99th Ave, Suite 100, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-4050.

Elise J Mahoney is licensed to practice in Oregon (license number 201502876NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790054831.

Contact Information

	Elise J Mahoney, FNP, PMHNP-BC
	1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9436
	(503) 215-4050
	Not Available

Map and Direction

Provider's Profile

Full Name	Elise J Mahoney
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1321 Ne 99th Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elise J Mahoney graduated from nursing school in 2011

NPI Data:

NPI Number: 1790054831
Provider Enumeration Date: 12/19/2011
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 9032379193
Enrollment ID: I20150903002483

Medical Identifiers

Medical identifiers for Elise J Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790054831	NPI	-	NPPES
500690415	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	201502876NP-PP (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	201502876NP-PP (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61239945 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201502876NP-PP (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344
Providence Health And Services Oregon	0648183608	1344

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. Elise J Mahoney 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: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768

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. Elise J Mahoney 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
Elise J Mahoney, FNP, PMHNP-BC 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 Ph: (503) 741-2735	Elise J Mahoney, FNP, PMHNP-BC 1321 Ne 99th Ave, Suite 100, Portland, OR 97220-9436 Ph: (503) 215-4050

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

Elise J Mahoney, FNP, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR