Kristen Fernandez-kong, PMHNP-BC in Portland, OR

Kristen Fernandez-kong, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 3500 Ne Martin Luther King Jr Blvd Ste 200, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 327-8205.

Kristen Fernandez-kong is licensed to practice in Oregon (license number 202001075NP-PP) 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 1144714858.

Contact Information

	Kristen Fernandez-kong, PMHNP-BC
	3500 Ne Martin Luther King Jr Blvd Ste 200, Portland, OR 97212-2093
	(503) 327-8205
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristen Fernandez-kong
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3500 Ne Martin Luther King Jr Blvd Ste 200, 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: 1144714858
Provider Enumeration Date: 06/16/2018
Last Update Date: 09/30/2020

Medicare PECOS Information:

PECOS PAC ID: 8022436369
Enrollment ID: I20200917002535

Medical Identifiers

Medical identifiers for Kristen Fernandez-kong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144714858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	202001075NP-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. Kristen Fernandez-kong allows following entities to bill medicare on her behalf.

Entity Name	Western Psychological And Counseling Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049

Entity Name	Cognitive Care Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770023186 PECOS PAC ID: 6103101498 Enrollment ID: O20170329001297

Entity Name	Mindful Therapy Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586

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. Kristen Fernandez-kong 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
Kristen Fernandez-kong, PMHNP-BC 3500 Ne Martin Luther King Jr Blvd Ste 200, Portland, OR 97212-2093 Ph: () -	Kristen Fernandez-kong, PMHNP-BC 3500 Ne Martin Luther King Jr Blvd Ste 200, Portland, OR 97212-2093 Ph: (503) 327-8205

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Kristen Fernandez-kong, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR