Tyler Clark Chipman, PMHNP in Gresham, OR - Medicare Nurse Practitioner

Tyler Clark Chipman, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gresham, Oregon. His current practice location is 600 Ne 8th St Ste 300, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 988-5155.

Tyler Clark Chipman is licensed to practice in Oregon (license number 201506224NP-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 1366812372.

Contact Information

	Tyler Clark Chipman, PMHNP
	600 Ne 8th St Ste 300, Gresham, OR 97030-7318
	(503) 988-5155
	(503) 988-5185

Map and Direction

Provider's Profile

Full Name	Tyler Clark Chipman
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	600 Ne 8th St Ste 300, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366812372
Provider Enumeration Date: 10/02/2015
Last Update Date: 10/02/2015

Medicare PECOS Information:

PECOS PAC ID: 2264730654
Enrollment ID: I20160419001103

Medical Identifiers

Medical identifiers for Tyler Clark Chipman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366812372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201506224NP-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. Tyler Clark Chipman allows following entities to bill medicare on his behalf.

Entity Name	Multnomah County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Tyler Clark Chipman 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
Tyler Clark Chipman, PMHNP 2942 Se Yamhill St Apt A, Portland, OR 97214-4092 Ph: (503) 593-9521	Tyler Clark Chipman, PMHNP 600 Ne 8th St Ste 300, Gresham, OR 97030-7318 Ph: (503) 988-5155

Reviews and Comments

Nurse Practitioner Nurses in Gresham, OR

Vivian B Vargo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185
Elana Underwood Scharff, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599
Renae Rykaczewski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030 Phone: 530-988-5155
Alma San Juan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520
Mrs. Crystal Luna, MSN, APRN-RX, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050
Katie L Ketterling-thornburg, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9500
Ms. Heike K. Huchler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050

Tyler Clark Chipman, PMHNP - Medicare Nurse Practitioner in Gresham, OR