Jesse Samuel Kern, in Portland, OR - Medicare Clinical Social Worker Provider

Jesse Samuel Kern, is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. He graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sondermind Provider Network Llc and his current practice location is 10373 Ne Hancock St Ste 200, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 261-6136.

Jesse Samuel Kern is licensed to practice in Oregon (license number L12977) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467827139.

Contact Information

	Jesse Samuel Kern,
	10373 Ne Hancock St Ste 200, Portland, OR 97220-3873
	(503) 261-6136
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse Samuel Kern
Gender	Male
Speciality	Clinical Social Worker
Experience	11 Years
Location	10373 Ne Hancock St Ste 200, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jesse Samuel Kern graduated from medical school in 2014

NPI Data:

NPI Number: 1467827139
Provider Enumeration Date: 12/07/2015
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 6204257785
Enrollment ID: I20200612002498

Medical Identifiers

Medical identifiers for Jesse Samuel Kern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467827139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	LCSW-18630 (Arizona)	Secondary
1041C0700X	Social Worker - Clinical	L12977 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	874

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. Jesse Samuel Kern allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844

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. Jesse Samuel Kern 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
Jesse Samuel Kern, Po Box 8459, Portland, OR 97207-8459 Ph: () -	Jesse Samuel Kern, 10373 Ne Hancock St Ste 200, Portland, OR 97220-3873 Ph: (503) 261-6136

Jesse Samuel Kern, - Medicare Counselor in Portland, OR