Tabitha M Gholi, FNP-C in Portland, OR - Medicare Nurse Practitioner

Tabitha M Gholi, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. Her current practice location is 2222 Nw Lovejoy St Ste 505, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 432-7555.

Tabitha M Gholi is licensed to practice in Oregon (license number F10230923) 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 1285406017.

Contact Information

	Tabitha M Gholi, FNP-C
	2222 Nw Lovejoy St Ste 505, Portland, OR 97210-5103
	(971) 432-7555
	Not Available

Map and Direction

Provider's Profile

Full Name	Tabitha M Gholi
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2222 Nw Lovejoy St Ste 505, 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: 1285406017
Provider Enumeration Date: 10/25/2023
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 5698124170
Enrollment ID: I20231208002160

Medical Identifiers

Medical identifiers for Tabitha M Gholi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285406017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F10230923 (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. Tabitha M Gholi allows following entities to bill medicare on her behalf.

Entity Name	The Vancouver Clinic Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20040127001069

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. Tabitha M Gholi 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
Tabitha M Gholi, FNP-C 121 Leonard St Apt A, Lake Oswego, OR 97034-3953 Ph: (503) 502-4409	Tabitha M Gholi, FNP-C 2222 Nw Lovejoy St Ste 505, Portland, OR 97210-5103 Ph: (971) 432-7555

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: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 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

Tabitha M Gholi, FNP-C - Medicare Nurse Practitioner in Portland, OR