Jennifer R Antick, PHD in Portland, OR - Medicare Clinical Psychologist Provider

Jennifer R Antick, PHD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Legacy Good Samaritan Hospital And Medical Center and her current practice location is 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-7353.

Jennifer R Antick is licensed to practice in Oregon (license number 1853) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285626507.

Contact Information

	Jennifer R Antick, PHD
	3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239-3011
	(503) 494-7353
	(503) 494-3282

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer R Antick
Gender	Female
Speciality	Clinical Psychologist
Experience	29 Years
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer R Antick graduated from medical school in 1995

NPI Data:

NPI Number: 1285626507
Provider Enumeration Date: 08/22/2005
Last Update Date: 12/02/2011

Medicare PECOS Information:

PECOS PAC ID: 7012904121
Enrollment ID: I20120112000770

Medical Identifiers

Medical identifiers for Jennifer R Antick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285626507	NPI	-	NPPES
7099252	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY00002039 (Washington)	Secondary
103TC0700X	Psychologist - Clinical	1853 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Good Samaritan Hospital And Medical Center	0547179939	137

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 R Antick allows following entities to bill medicare on her behalf.

Entity Name	Legacy Good Samaritan Hospital And Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416

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 R Antick 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 R Antick, PHD 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239-3011 Ph: (503) 494-7353	Jennifer R Antick, PHD 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239-3011 Ph: (503) 494-7353

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

Jennifer R Antick, PHD - Medicare Psychologist in Portland, OR