Jacquelyn L Welborn, PMHNP in Seaside, OR - Medicare Nurse Practitioner

Jacquelyn L Welborn, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Seaside, Oregon. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 727 S Wahanna Rd, Seaside, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 717-7060.

Jacquelyn L Welborn is licensed to practice in Oregon (license number 201907444NP-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 1689229940.

Contact Information

	Jacquelyn L Welborn, PMHNP
	727 S Wahanna Rd, Seaside, OR 97138-7735
	(503) 717-7060
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacquelyn L Welborn
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	727 S Wahanna Rd, Seaside, 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:

Jacquelyn L Welborn graduated from nursing school in 2019

NPI Data:

NPI Number: 1689229940
Provider Enumeration Date: 08/05/2019
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7810229028
Enrollment ID: I20191021002025

Medical Identifiers

Medical identifiers for Jacquelyn L Welborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689229940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	201907444NP-PP (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201907444NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Seaside Hospital	Seaside, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	1557260106	85

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. Jacquelyn L Welborn 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: 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. Jacquelyn L Welborn 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
Jacquelyn L Welborn, PMHNP Po Box 3397, Portland, OR 97208-3397 Ph: () -	Jacquelyn L Welborn, PMHNP 727 S Wahanna Rd, Seaside, OR 97138-7735 Ph: (503) 717-7060

Reviews and Comments

Nurse Practitioner Nurses in Seaside, OR

Karina Marie Squire, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7060
Nellyda M Anslow, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 N Roosevelt Dr, Ste 104, Seaside, OR 97138 Phone: 541-754-1150 Fax: 503-717-7159
Jocelyn Marie Stromstad, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 S Wahanna Rd Ste 230, Seaside, OR 97138 Phone: 503-717-7060
Jennifer Shannon Haag, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7060
Anna Marie Bovee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7060
Rachel A Shepard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 N Roosevelt Dr, Ste 104, Seaside, OR 97138 Phone: 503-717-7150
Kathryn K. Suarez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7700

Jacquelyn L Welborn, PMHNP - Medicare Nurse Practitioner in Seaside, OR