Lydia Anne M Bartholow, PMHNP in Portland, OR

Lydia Anne M Bartholow, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 1027 E Burnside St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 239-8400.

Lydia Anne M Bartholow is licensed to practice in Oregon (license number 201250177NP) 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 1790038271.

Contact Information

	Lydia Anne M Bartholow, PMHNP
	1027 E Burnside St, Portland, OR 97214-1328
	(503) 239-8400
	Not Available

Map and Direction

Provider's Profile

Full Name	Lydia Anne M Bartholow
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1027 E Burnside St, 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: 1790038271
Provider Enumeration Date: 10/20/2012
Last Update Date: 03/09/2020

Medicare PECOS Information:

PECOS PAC ID: 2668617580
Enrollment ID: I20231004002571

Medical Identifiers

Medical identifiers for Lydia Anne M Bartholow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790038271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201250177NP (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. Lydia Anne M Bartholow allows following entities to bill medicare on her behalf.

Entity Name	Legacy Emanuel Hospital & Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204

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. Lydia Anne M Bartholow 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
Lydia Anne M Bartholow, PMHNP 1027 E Burnside St, Portland, OR 97214-1328 Ph: (971) 202-7774	Lydia Anne M Bartholow, PMHNP 1027 E Burnside St, Portland, OR 97214-1328 Ph: (503) 239-8400

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

Lydia Anne M Bartholow, PMHNP - Medicare Nurse Practitioner in Portland, OR