Jennifer D Samsom, MA in Portland, OR - Medicare Counselor Provider

Jennifer D Samsom, MA is a medicare enrolled "Counselor - Mental Health" provider in Portland, Oregon. Her current practice location is 2245 Sw Troy St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 341-6393.

Jennifer D Samsom is licensed to practice in Oregon (license number C3886) 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 1003129115.

Contact Information

	Jennifer D Samsom, MA
	2245 Sw Troy St, Portland, OR 97219-2657
	(503) 341-6393
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer D Samsom
Gender	Female
Speciality	Counselor - Mental Health
Location	2245 Sw Troy St, 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: 1003129115
Provider Enumeration Date: 07/17/2010
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 6204272305
Enrollment ID: I20240312001261

Medical Identifiers

Medical identifiers for Jennifer D Samsom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003129115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	C3886 (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. Jennifer D Samsom allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586

Entity Name	Mindful Therapy Pacific Nw Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437810538 PECOS PAC ID: 4486094745 Enrollment ID: O20240502004127

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. Jennifer D Samsom 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
Jennifer D Samsom, MA 2245 Sw Troy St, Portland, OR 97219-2657 Ph: (503) 341-6393	Jennifer D Samsom, MA 2245 Sw Troy St, Portland, OR 97219-2657 Ph: (503) 341-6393

Reviews and Comments

Counselor in Portland, OR

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James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714

Jennifer D Samsom, MA - Medicare Counselor in Portland, OR