Kathryn Jacobsen, in Gresham, OR - Medicare Counselor Provider

Kathryn Jacobsen, is a medicare enrolled "Counselor" provider in Gresham, Oregon. Her current practice location is 2850 Se Powell Valley Rd, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 666-5050.

Kathryn Jacobsen is licensed to practice in Oregon (license number C7632) 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 1598197170.

Contact Information

	Kathryn Jacobsen,
	2850 Se Powell Valley Rd, Gresham, OR 97080-1494
	(503) 666-5050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn Jacobsen
Gender	Female
Speciality	Counselor
Location	2850 Se Powell Valley Rd, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598197170
Provider Enumeration Date: 08/06/2013
Last Update Date: 04/22/2025

Medicare PECOS Information:

PECOS PAC ID: 9830532894
Enrollment ID: I20240206003965

Medical Identifiers

Medical identifiers for Kathryn Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598197170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101Y00000X	Counselor	C7632 (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. Kathryn Jacobsen allows following entities to bill medicare on her behalf.

Entity Name	Orchid Oakridge Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588088983 PECOS PAC ID: 3476786609 Enrollment ID: O20140612000318

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. Kathryn Jacobsen 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
Kathryn Jacobsen, Po Box 3777, Portland, OR 97208-3777 Ph: () -	Kathryn Jacobsen, 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 Ph: (503) 666-5050

Reviews and Comments

Counselor in Gresham, OR

Deanna Rae Shields, CADC-R/CHW/CRM/PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 Nw Division St, Gresham, OR 97030 Phone: 503-231-2641 Fax: 503-231-1654
Amy Marie Elness, CADC II/QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Ne 2nd St, Gresham, OR 97030 Phone: 971-274-3757 Fax: 503-912-5740
Joey Owen Patton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 E Powell Blvd, Gresham, OR 97030 Phone: 360-977-0450
Mr. Sammy Travis Freshner Jr., M.ED, MAC, LPCRA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1584 Ne 8th St Ste 200, Gresham, OR 97030 Phone: 503-890-8773
Laurie Anne Ricken, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-661-5455
Mr. David J. Lowe, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 Ne Cleveland Ave, Gresham, OR 97030 Phone: 503-492-1200
Drake Miyake, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600

Kathryn Jacobsen, - Medicare Counselor in Gresham, OR