Mr Samuel Joseph Cross-sarvis, PMHNP-BC, FNP-C in Portland, OR

Mr Samuel Joseph Cross-sarvis, PMHNP-BC, FNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. His current practice location is 5263 Ne Martin Luther King Jr Blvd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 217-4455.

Mr Samuel Joseph Cross-sarvis is licensed to practice in Oregon (license number 201707205NP-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 1922305978.

Contact Information

	Mr Samuel Joseph Cross-sarvis, PMHNP-BC, FNP-C
	5263 Ne Martin Luther King Jr Blvd, Portland, OR 97211-3235
	(503) 217-4455
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samuel Joseph Cross-sarvis
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5263 Ne Martin Luther King Jr Blvd, 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: 1922305978
Provider Enumeration Date: 02/25/2011
Last Update Date: 07/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7618245622
Enrollment ID: I20171026002831

Medical Identifiers

Medical identifiers for Mr Samuel Joseph Cross-sarvis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922305978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN00176573 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	95003416 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	60621382 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201707205NP-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 Samuel Joseph Cross-sarvis allows following entities to bill medicare on his behalf.

Entity Name	Compass Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730136201 PECOS PAC ID: 5799682357 Enrollment ID: O20031212000865

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 Samuel Joseph Cross-sarvis 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 Samuel Joseph Cross-sarvis, PMHNP-BC, FNP-C 5263 Ne Martin Luther King Jr Blvd, Portland, OR 97211-3235 Ph: (503) 217-4455	Mr Samuel Joseph Cross-sarvis, PMHNP-BC, FNP-C 5263 Ne Martin Luther King Jr Blvd, Portland, OR 97211-3235 Ph: (503) 217-4455

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 Samuel Joseph Cross-sarvis, PMHNP-BC, FNP-C - Medicare Nurse Practitioner in Portland, OR