Mr David Carl Stevens, PMHNP in Portland, OR - Medicare Nurse Practitioner

Mr David Carl Stevens, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. His current practice location is 12360 E Burnside St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (971) 279-4800.

Mr David Carl Stevens is licensed to practice in Oregon (license number 202111950NP-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255095550.

Contact Information

	Mr David Carl Stevens, PMHNP
	12360 E Burnside St, Portland, OR 97233-1042
	(971) 279-4800
	(971) 279-2051

Map and Direction

Provider's Profile

Full Name	Mr David Carl Stevens
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12360 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: 1255095550
Provider Enumeration Date: 10/24/2021
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8426432964
Enrollment ID: I20220831003184

Medical Identifiers

Medical identifiers for Mr David Carl Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255095550	NPI	-	NPPES
2205261	Medicaid	WA
500800742	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201041299RN (Oregon)	Secondary
163W00000X	Registered Nurse	RN61146170 (Washington)	Secondary
363L00000X	Nurse Practitioner	AP61337481 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	202111950NP-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. Mr David Carl Stevens allows following entities to bill medicare on his behalf.

Entity Name	Native American Rehabilitation Assoc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396734364 PECOS PAC ID: 2668361585 Enrollment ID: O20040310001435

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. Mr David Carl Stevens 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
Mr David Carl Stevens, PMHNP 1776 Sw Madison St, Portland, OR 97205-1715 Ph: (503) 224-1044	Mr David Carl Stevens, PMHNP 12360 E Burnside St, Portland, OR 97233-1042 Ph: (971) 279-4800

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

Mr David Carl Stevens, PMHNP - Medicare Nurse Practitioner in Portland, OR