Sodasavanh Joy Khamsoukthavong, - Medicare Certified Clinical Nurse Specialist (cns) in Portland, OR

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Sodasavanh Joy Khamsoukthavong, is a medicare enrolled "Clinical Nurse Specialist" in Portland, Oregon. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Legacy Clinics Llc, Legacy Salmon Creek Hospital and her current practice location is 501 N Graham St Ste 220, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 413-4710.

Sodasavanh Joy Khamsoukthavong is licensed to practice in Oregon (license number 200570006CNS) 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 1508212283.

Contact Information

Sodasavanh Joy Khamsoukthavong,
501 N Graham St Ste 220,
Portland, OR 97227-2014
(503) 413-4710
(503) 413-7148

Map and Direction




Provider's Profile

Full NameSodasavanh Joy Khamsoukthavong
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience21 Years
Location501 N Graham St Ste 220, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sodasavanh Joy Khamsoukthavong graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1508212283
  • Provider Enumeration Date: 05/11/2016
  • Last Update Date: 12/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9133480239
  • Enrollment ID: I20180307000180

Medical Identifiers

Medical identifiers for Sodasavanh Joy Khamsoukthavong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508212283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364S00000XClinical Nurse Specialist 200570006CNS (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Good Samaritan Medical CenterPortland, ORHospital
Legacy Meridian Park Medical CenterTualatin, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004635
Legacy Salmon Creek Hospital0446295711253

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. Sodasavanh Joy Khamsoukthavong allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameLegacy Good Samaritan Hospital And Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780608216
PECOS PAC ID: 0547179939
Enrollment ID: O20031125000416
Entity NameLegacy Emanuel Hospital & Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831112358
PECOS PAC ID: 4587573639
Enrollment ID: O20040127001204

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. Sodasavanh Joy Khamsoukthavong 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
Sodasavanh Joy Khamsoukthavong,
501 N Graham St Ste 220,
Portland, OR 97227-2014

Ph: (503) 413-4710		Sodasavanh Joy Khamsoukthavong,
501 N Graham St Ste 220,
Portland, OR 97227-2014

Ph: (503) 413-4710

Reviews and Comments


Clinical Nurse Specialist Nurses in Portland, OR

Marisa Gillaspie Aziz, CNS
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Phone: 541-610-3346    
Mary Paulette Hansen, APRN-CNS
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Practice Location: 12406 Sw 55th Pl, Portland, OR 97219
Phone: 253-229-7391    
Tasha Nicole Searles, CNS
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Practice Location: 1327 Se Tacoma St # 105, Portland, OR 97202
Phone: 971-200-5226    Fax: 866-480-3345
Miss Christy Delee Burleson, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239
Phone: 503-220-8262    
Ann M Busch, RN, APRN,BC
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 3710 Sw Us Veterans Hospital Rd, P3transplant, Portland, OR 97239
Phone: 503-721-7860    Fax: 503-273-5072
Patrick Eugene Mcandrew, RN, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239
Phone: 503-220-8262    
Ms. Kathryn M Johnson, RN, MS, CNS, CCRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-887-1387    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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