Larissa Birndorf, MSW, PMHNP-BC in Portland, OR

Larissa Birndorf, MSW, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 2701 Nw Vaughn St Ste 470, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 719-4648.

Larissa Birndorf is licensed to practice in Oregon (license number 201504586NP-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 1073939211.

Contact Information

	Larissa Birndorf, MSW, PMHNP-BC
	2701 Nw Vaughn St Ste 470, Portland, OR 97210-5326
	(503) 719-4648
	Not Available

Map and Direction

Provider's Profile

Full Name	Larissa Birndorf
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2701 Nw Vaughn St Ste 470, 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: 1073939211
Provider Enumeration Date: 03/12/2014
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7719290451
Enrollment ID: I20230206001074

Medical Identifiers

Medical identifiers for Larissa Birndorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073939211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201393260RN (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201504586NP-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. Larissa Birndorf allows following entities to bill medicare on her behalf.

Entity Name	Active Recovery Tms Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881287787 PECOS PAC ID: 9032528047 Enrollment ID: O20210526003451

Entity Name	Deep Insight Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770357964 PECOS PAC ID: 5092177923 Enrollment ID: O20240207004091

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. Larissa Birndorf 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
Larissa Birndorf, MSW, PMHNP-BC 2873 Nw Raleigh St, Portland, OR 97210-2464 Ph: (503) 679-7824	Larissa Birndorf, MSW, PMHNP-BC 2701 Nw Vaughn St Ste 470, Portland, OR 97210-5326 Ph: (503) 719-4648

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

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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

Larissa Birndorf, MSW, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR