Mrs Christine Marie Douglas, PMHNP-BC in Hillsboro, OR

Mrs Christine Marie Douglas, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hillsboro, Oregon. Her current practice location is 535 Se Washington St, Hillsboro, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 755-6703.

Mrs Christine Marie Douglas is licensed to practice in Oregon (license number 10005976) 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 1003512443.

Contact Information

	Mrs Christine Marie Douglas, PMHNP-BC
	535 Se Washington St, Hillsboro, OR 97123-4142
	(503) 755-6703
	(503) 755-6704

Map and Direction

Provider's Profile

Full Name	Mrs Christine Marie Douglas
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	535 Se Washington St, Hillsboro, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003512443
Provider Enumeration Date: 02/07/2023
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5193181170
Enrollment ID: I20230517001125

Medical Identifiers

Medical identifiers for Mrs Christine Marie Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003512443	NPI	-	NPPES
2910854	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0033184 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10005976 (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. Mrs Christine Marie Douglas allows following entities to bill medicare on her behalf.

Entity Name	Tiffany Manrodt
Entity Type	Practitioner - Clinical Social Worker
Entity Identifiers	NPI Number: 1326557836 PECOS PAC ID: 5496137531 Enrollment ID: I20230328001620

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. Mrs Christine Marie Douglas 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
Mrs Christine Marie Douglas, PMHNP-BC 7426 N La Cholla Blvd, Tucson, AZ 85741-2306 Ph: (503) 755-6703	Mrs Christine Marie Douglas, PMHNP-BC 535 Se Washington St, Hillsboro, OR 97123-4142 Ph: (503) 755-6703

Reviews and Comments

Nurse Practitioner Nurses in Hillsboro, OR

Tina M Barber, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19075 Nw Tanasbourne Dr, Suit 200, Hillsboro, OR 97124 Phone: 503-684-8252
Timothy Charles Kruth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124 Phone: 503-848-5861 Fax: 503-848-5863
Ms. Kathryn Rose Van Beeck, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762
Shannon Hummel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Se Washington St, Hillsboro, OR 97123 Phone: 503-755-6703 Fax: 503-755-6704
Margaret Wittenauer-lee, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave Suite 5550, Hillsboro, OR 97123 Phone: 503-681-4273
Patricia Hazel Glazier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4660 Ne Belknap Ct, Suite 109, Hillsboro, OR 97124 Phone: 503-693-1944 Fax: 503-693-1941

Mrs Christine Marie Douglas, PMHNP-BC - Medicare Nurse Practitioner in Hillsboro, OR