Sally J Gildehaus, PSYD is a medicare enrolled "Psychologist" provider in Happy Valley, Oregon. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Legacy Salmon Creek Hospital and her current practice location is
16180 Se Sunnyside Rd Ste 102, Happy Valley, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 582-4900.
Sally J Gildehaus is licensed to practice in Washington (license number PY61251520) 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 1407381882.
Healthcare Provider's Profile
| Full Name | Sally J Gildehaus |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 16180 Se Sunnyside Rd Ste 102, Happy Valley, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sally J Gildehaus graduated from medical school in 2021
NPI Data:
- NPI Number: 1407381882
- Provider Enumeration Date: 04/24/2017
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597133991
- Enrollment ID: I20240917002268
Medical Identifiers
Medical identifiers for Sally J Gildehaus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407381882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | MC61175782 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3572 (Oregon) | Secondary |
| 103T00000X | Psychologist | PY61251520 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Legacy Salmon Creek Hospital | 0446295711 | 253 |
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. Sally J Gildehaus allows following entities to bill medicare on her behalf.
| Entity Name | Legacy Salmon Creek Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356357784
PECOS PAC ID: 0446295711
Enrollment ID: O20051223000194 |
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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. Sally J Gildehaus 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 |
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Sally J Gildehaus, PSYD
Po Box 3158,
Portland, OR 97208-3158
Ph: (503) 215-6494 | Sally J Gildehaus, PSYD
16180 Se Sunnyside Rd Ste 102,
Happy Valley, OR 97015-6302
Ph: (503) 582-4900 |
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