Jonathan Ulises De La Torre, in Portland, OR - Medicare Nurse Anesthetist, Certified Registered

Jonathan Ulises De La Torre, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. His current practice location is 9205 Sw Barnes Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-1234.

Jonathan Ulises De La Torre is licensed to practice in Oregon (license number 10028588) 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 1578300539.

Contact Information

	Jonathan Ulises De La Torre,
	9205 Sw Barnes Rd, Portland, OR 97225-6603
	(503) 216-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Ulises De La Torre
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	9205 Sw Barnes Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578300539
Provider Enumeration Date: 07/09/2024
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0941738975
Enrollment ID: I20250103002696

Medical Identifiers

Medical identifiers for Jonathan Ulises De La Torre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578300539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	10028588 (Oregon)	Primary
163W00000X	Registered Nurse	10028588 (Oregon)	Secondary

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. Jonathan Ulises De La Torre allows following entities to bill medicare on his behalf.

Entity Name	Noble Dreams Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750889804 PECOS PAC ID: 5698036945 Enrollment ID: O20180228002482

Entity Name	Hospitalist Medicine Physicians Of Washington - Tcs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616

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. Jonathan Ulises De La Torre 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
Jonathan Ulises De La Torre, 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: () -	Jonathan Ulises De La Torre, 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (503) 216-1234

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Trevor Sawyer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7725
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641

Jonathan Ulises De La Torre, - Medicare Nurse Anesthetist, Certified Registered in Portland, OR