Ms Manya Diane Dobaj, PMHNP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Hillsboro, Oregon. Her current practice location is
10315 Ne Tanasbourne Dr, Hillsboro, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 249-3434.
Ms Manya Diane Dobaj is licensed to practice in Oregon (license number 20050091NP) 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 1639368590.
Provider's Profile
| Full Name | Ms Manya Diane Dobaj |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 10315 Ne Tanasbourne Dr, Hillsboro, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639368590
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 03/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315035730
- Enrollment ID: I20080721000197
Medical Identifiers
Medical identifiers for Ms Manya Diane Dobaj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639368590 | NPI | - | NPPES |
| 237498 | Other | WA | L&I |
| P01290272 | Other | WA | RR MEDICARE |
| 8947886 | Other | WA | CV |
| 1639368590 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60021577 (Washington) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20050091NP (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. Ms Manya Diane Dobaj allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099 |
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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. Ms Manya Diane Dobaj 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 |
|---|
Ms Manya Diane Dobaj, PMHNP
10315 Ne Tanasbourne Dr,
Hillsboro, OR 97124-7836
Ph: (503) 249-3434 | Ms Manya Diane Dobaj, PMHNP
10315 Ne Tanasbourne Dr,
Hillsboro, OR 97124-7836
Ph: (503) 249-3434 |
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