Dr Jeffery Wise, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR

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Dr Jeffery Wise, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. His current practice location is 1834 Nw 25th Ave Apt 504, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (971) 354-9242.

Dr Jeffery Wise is licensed to practice in Oregon (license number 01606596NP-PP) 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 1003361858.

Contact Information

Dr Jeffery Wise, PMHNP-BC
1834 Nw 25th Ave Apt 504,
Portland, OR 97210-2764
(971) 354-9242
Not Available

Map and Direction




Provider's Profile

Full NameDr Jeffery Wise
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1834 Nw 25th Ave Apt 504, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003361858
  • Provider Enumeration Date: 08/22/2016
  • Last Update Date: 01/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577851682
  • Enrollment ID: I20161005001422

Medical Identifiers

Medical identifiers for Dr Jeffery Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003361858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 01606596NP-PP (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 Jeffery Wise allows following entities to bill medicare on his behalf.
Entity NameWestern Psychological And Counseling Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912008178
PECOS PAC ID: 7719975085
Enrollment ID: O20040505000049
Entity NameCatholic Charities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144684663
PECOS PAC ID: 9830434018
Enrollment ID: O20181217000457

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 Jeffery Wise 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 AddressPractice Location Address
Dr Jeffery Wise, PMHNP-BC
1834 Nw 25th Ave Apt 504,
Portland, OR 97210-2764

Ph: (971) 354-9242		Dr Jeffery Wise, PMHNP-BC
1834 Nw 25th Ave Apt 504,
Portland, OR 97210-2764

Ph: (971) 354-9242

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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