Dr Sami Lee Ebner, DC, ND is a medicare enrolled "Naturopath" provider in Portland, Oregon. His current practice location is
436 Se 12th Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(971) 359-0012.
Dr Sami Lee Ebner is licensed to practice in Oregon (license number 5133) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619627759.
Healthcare Provider's Profile
| Full Name | Dr Sami Lee Ebner |
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| Gender | Male |
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| Speciality | Naturopath |
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| Location | 436 Se 12th Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619627759
- Provider Enumeration Date: 03/23/2022
- Last Update Date: 08/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 5395127807
- Enrollment ID: I20220801000296
Medical Identifiers
Medical identifiers for Dr Sami Lee Ebner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619627759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 6224 (Oregon) | Secondary |
| 175F00000X | Naturopath | 5133 (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 Sami Lee Ebner allows following entities to bill medicare on his behalf.
| Provider Name | Be Well Acupuncture |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417484460
PECOS PAC ID: 4486036993
Enrollment ID: O20220801000266 |
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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 Sami Lee Ebner 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 Sami Lee Ebner, DC, ND
436 Se 12th Ave,
Portland, OR 97214-1323
Ph: (971) 359-0012 | Dr Sami Lee Ebner, DC, ND
436 Se 12th Ave,
Portland, OR 97214-1323
Ph: (971) 359-0012 |
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