Dr Jennifer Dianne Wiens, PSYD in Portland, OR - Medicare Psychologist Provider

Dr Jennifer Dianne Wiens, PSYD is a medicare enrolled "Psychologist" provider in Portland, Oregon. Her current practice location is 11035 Ne Sandy Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 258-4200.

Dr Jennifer Dianne Wiens is licensed to practice in Florida (license number PY10631) 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 1962879833.

Contact Information

	Dr Jennifer Dianne Wiens, PSYD
	11035 Ne Sandy Blvd, Portland, OR 97220-2553
	(503) 258-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jennifer Dianne Wiens
Gender	Female
Speciality	Psychologist
Location	11035 Ne Sandy Blvd, 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: 1962879833
Provider Enumeration Date: 08/27/2015
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 2163827841
Enrollment ID: I20210818001340

Medical Identifiers

Medical identifiers for Dr Jennifer Dianne Wiens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962879833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY10631 (Florida)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

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. Dr Jennifer Dianne Wiens allows following entities to bill medicare on her behalf.

Entity Name	Cotler Healthcare & Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075

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. Dr Jennifer Dianne Wiens 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
Dr Jennifer Dianne Wiens, PSYD 1120 E Kennedy Blvd Unit 1019, Tampa, FL 33602-3587 Ph: (813) 336-9244	Dr Jennifer Dianne Wiens, PSYD 11035 Ne Sandy Blvd, Portland, OR 97220-2553 Ph: (503) 258-4200

Reviews and Comments

Psychologist in Portland, OR

Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692
Dr. David Hugh Haven, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ne Weidler St Ste 201, Portland, OR 97232 Phone: 503-312-0281
Dr. Susan Orchard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7415 N Oatman Ave, Portland, OR 97217 Phone: 503-358-6479
Mrs. Nellie Cichon, CADC 1 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8202 N Denver Ave, Portland, OR 97217 Phone: 503-285-3200 Fax: 503-245-6263
Alison D. Armour, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000
Laura Isabel Miranda Olivera, MA, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219 Phone: 855-295-3276 Fax: 888-588-2752
Dr. Amy W Wagner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, V3-satp, Portland, OR 97239 Phone: 503-220-8262 Fax: 360-737-1419

Dr Jennifer Dianne Wiens, PSYD - Medicare Psychologist in Portland, OR