Mr Shannon Lee Smith, PMHNP, MPH - Medicare Nurse Practitioner in Portland, OR

Mr Shannon Lee Smith, PMHNP, MPH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Multnomah County and his current practice location is 619 Nw 6th Ave Fl 3, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 988-5020.

Mr Shannon Lee Smith is licensed to practice in Oregon (license number 201250082NP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154686814.

Contact Information

Mr Shannon Lee Smith, PMHNP, MPH
619 Nw 6th Ave Fl 3,
Portland, OR 97209-3964
(503) 988-5020
(503) 988-5022

Map and Direction




Provider's Profile

Full NameMr Shannon Lee Smith
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location619 Nw 6th Ave Fl 3, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Shannon Lee Smith graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1154686814
  • Provider Enumeration Date: 07/09/2012
  • Last Update Date: 11/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668623224
  • Enrollment ID: I20121108000498

Medical Identifiers

Medical identifiers for Mr Shannon Lee Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154686814NPI-NPPES
22959MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 201250082NP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Multnomah County660877178788

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 Shannon Lee Smith allows following entities to bill medicare on his behalf.
Entity NameMultnomah County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609914787
PECOS PAC ID: 6608771787
Enrollment ID: O20031203000025

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 Shannon Lee Smith 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 AddressPractice Location Address
Mr Shannon Lee Smith, PMHNP, MPH
619 Nw 6th Ave Fl 5,
Portland, OR 97209-3964

Ph: () -
Mr Shannon Lee Smith, PMHNP, MPH
619 Nw 6th Ave Fl 3,
Portland, OR 97209-3964

Ph: (503) 988-5020

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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