Cognitive Care Medical Group - Medicare Mental Health Clinic in Clackamas, OR

Cognitive Care Medical Group is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Clackamas, Oregon. The current practice location for Cognitive Care Medical Group is 12901 Se 97th Ave Ste 105, Clackamas, Oregon. For appointments, you can reach them via phone at (503) 912-4788. The mailing address for Cognitive Care Medical Group is 12901 Se 97th Ave Ste 105, Clackamas, Oregon and phone number is (503) 912-4788.

Cognitive Care Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1770023186. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 912-4788.

Contact Information

Cognitive Care Medical Group
12901 Se 97th Ave Ste 105
Clackamas
OR 97015-7902
(503) 912-4788
(503) 912-4787

Map and Direction


Mental Health Clinic Profile

Full NameCognitive Care Medical Group
SpecialityPsychiatry & Neurology
Location12901 Se 97th Ave Ste 105, Clackamas, Oregon
Authorized Official Name and PositionEric George Wight (MANAGER)
Authorized Official Contact5039124790
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cognitive Care Medical Group
12901 Se 97th Ave Ste 105
Clackamas
OR 97015-7902

Ph: (503) 912-4788
Cognitive Care Medical Group
12901 Se 97th Ave Ste 105
Clackamas
OR 97015-7902

Ph: (503) 912-4788

NPI Details:

NPI Number1770023186
Provider Enumeration Date03/03/2017
Last Update Date09/12/2018

Medicare PECOS Information:

Medicare PECOS PAC ID6103101498
Medicare Enrollment IDO20170329001297

Medical Identifiers

Medical identifiers for Cognitive Care Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770023186NPI-NPPES
500723541MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
2084F0202XPsychiatry & Neurology - Forensic Psychiatry (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/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. Cognitive Care Medical Group acts as a billing entity for following providers:
Provider NameChristopher L Thoen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316178106
PECOS PAC ID: 0446434385
Enrollment ID: I20110418000527
Provider NameHeather L Knott
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194900084
PECOS PAC ID: 6204029994
Enrollment ID: I20121210000048
Provider NameKimberly A Sabin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669676193
PECOS PAC ID: 8628313681
Enrollment ID: I20181219000784
Provider NameKristen F Fernandez-kong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144714858
PECOS PAC ID: 8022436369
Enrollment ID: I20200917002535

Reviews and Comments

Psychiatry & Neurology in Clackamas, OR

Linda Heins, Lcsw, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10001 Se Sunnyside Rd Ste 140, Clackamas, OR 97015
Phone: 503-653-5205    Fax: 503-653-5219
Villeda's Tranquility Health Solutions, Llc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8800 Se Sunnyside Rd Ste 257s, Clackamas, OR 97015
Phone: 503-747-9502    Fax: 877-744-1853
Northwest Family Psychology
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10121 Se Sunnyside Rd, Suite 300, Clackamas, OR 97015
Phone: 503-454-6834    
Ihc Associates
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015
Phone: 503-740-1971    Fax: 503-771-2436
In-house Counseling
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 9123 Se Saint Helens St Ste 100f, Clackamas, OR 97015
Phone: 503-740-1971    Fax: 503-771-2436
Linda E Schmidt
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10001 Se Sunnyside Rd, Suite 140, Clackamas, OR 97015
Phone: 503-258-7675    Fax: 503-653-5219
My Multicare Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10121 Se Sunnyside Rd Ste 300, Suite 300, Clackamas, OR 97015
Phone: 503-902-1105    Fax: 503-786-3896

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.