Dr Patricia Lynn Harris, PSY,D in Portland, OR - Medicare Psychologist Provider

Dr Patricia Lynn Harris, PSY,D is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. Her current practice location is 12636 Se Stark St., Plaza 125, Building J, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 253-4600.

Dr Patricia Lynn Harris is licensed to practice in Oregon (license number 1731) 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 1265612477.

Contact Information

	Dr Patricia Lynn Harris, PSY,D
	12636 Se Stark St., Plaza 125, Building J, Portland, OR 97233
	(503) 253-4600
	(503) 233-4609

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Patricia Lynn Harris
Gender	Female
Speciality	Psychologist - Clinical
Location	12636 Se Stark St., Plaza 125, Building J, 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: 1265612477
Provider Enumeration Date: 11/06/2007
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 2163579988
Enrollment ID: I20120612000030

Medical Identifiers

Medical identifiers for Dr Patricia Lynn Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265612477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1731 (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. Dr Patricia Lynn Harris allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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 Patricia Lynn Harris 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 Patricia Lynn Harris, PSY,D 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 Ph: (855) 632-8280	Dr Patricia Lynn Harris, PSY,D 12636 Se Stark St., Plaza 125, Building J, Portland, OR 97233 Ph: (503) 253-4600

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 Patricia Lynn Harris, PSY,D - Medicare Psychologist in Portland, OR