Jacqueline Sammons, NP-C in Lake Oswego, OR - Medicare Nurse Practitioner

Jacqueline Sammons, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Lake Oswego, Oregon. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Express Care Or Pc, Express Care Wa Pc, Express Care Wa Pc and her current practice location is 17704 Jean Way, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 675-6776.

Jacqueline Sammons is licensed to practice in Oregon (license number 201405286NP-PP) 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 1235539594.

Contact Information

	Jacqueline Sammons, NP-C
	17704 Jean Way, Lake Oswego, OR 97035-5497
	(503) 675-6776
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Sammons
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	17704 Jean Way, Lake Oswego, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Sammons graduated from nursing school in 2014

NPI Data:

NPI Number: 1235539594
Provider Enumeration Date: 08/23/2014
Last Update Date: 09/24/2020

Medicare PECOS Information:

PECOS PAC ID: 1052636628
Enrollment ID: I20150203001035

Medical Identifiers

Medical identifiers for Jacqueline Sammons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235539594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201405286NP-PP (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Express Care Or Pc	1254768732	49
Express Care Wa Pc	6800128067	55
Express Care Wa Pc	6800128067	55

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. Jacqueline Sammons allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Express Care Or Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205499126 PECOS PAC ID: 1254768732 Enrollment ID: O20200311001372

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. Jacqueline Sammons 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
Jacqueline Sammons, NP-C 2237 Nw Edgewood Pl, Portland, OR 97229-7618 Ph: (303) 868-3249	Jacqueline Sammons, NP-C 17704 Jean Way, Lake Oswego, OR 97035-5497 Ph: (503) 675-6776

Reviews and Comments

Nurse Practitioner Nurses in Lake Oswego, OR

Susan Ranae Battle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr, Lake Oswego, OR 97035 Phone: 541-214-6301 Fax: 855-510-1784
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Miss Amanda Magdalena Kinder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940
Mrs. Amanda L Swinehart, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5299 Lakeview Blvd, Lake Oswego, OR 97035 Phone: 740-215-1612
Dr. Kristine Susan White, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14523 Westlake Dr Ste 25, Lake Oswego, OR 97035 Phone: 503-854-7160 Fax: 503-886-8961
Anthony Hernandez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 503-603-7355
Tierney Newman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500

Jacqueline Sammons, NP-C - Medicare Nurse Practitioner in Lake Oswego, OR