Salim Elhalaby, PMHNP-BC in Portland, OR - Medicare Nurse Practitioner

Salim Elhalaby, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. His current practice location is 555 Se Martin Luther King Jr Blvd Ste 105, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 664-9451.

Salim Elhalaby is licensed to practice in Oregon (license number 202210765NP-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 1750658662.

Contact Information

	Salim Elhalaby, PMHNP-BC
	555 Se Martin Luther King Jr Blvd Ste 105, Portland, OR 97214-2120
	(503) 664-9451
	(503) 386-3230

Map and Direction

Provider's Profile

Full Name	Salim Elhalaby
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	555 Se Martin Luther King Jr Blvd Ste 105, 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: 1750658662
Provider Enumeration Date: 11/20/2011
Last Update Date: 07/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9436414067
Enrollment ID: I20180608001623

Medical Identifiers

Medical identifiers for Salim Elhalaby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750658662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN227176 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61321680 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	202210765NP-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. Salim Elhalaby allows following entities to bill medicare on his behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

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. Salim Elhalaby 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
Salim Elhalaby, PMHNP-BC 2625 Piedmont Rd Ne Ste 56-151, Atlanta, GA 30324-3086 Ph: (470) 572-4342	Salim Elhalaby, PMHNP-BC 555 Se Martin Luther King Jr Blvd Ste 105, Portland, OR 97214-2120 Ph: (503) 664-9451

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

Salim Elhalaby, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR