Dr Jun Ying Ao, PSYD is a medicare enrolled "Counselor" provider in Clackamas, Oregon. His current practice location is
9800 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 645-3581.
Dr Jun Ying Ao is licensed to practice in * (Not Available) (license number ) 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 1548396450.
Healthcare Provider's Profile
| Full Name | Dr Jun Ying Ao |
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| Gender | Male |
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| Speciality | Counselor |
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| Location | 9800 Se Sunnyside Rd, Clackamas, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548396450
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456617026
- Enrollment ID: I20171115000211
Medical Identifiers
Medical identifiers for Dr Jun Ying Ao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548396450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | 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 Jun Ying Ao allows following entities to bill medicare on his behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
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| Entity Name | Lifeworks Nw |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467408013 PECOS PAC ID: 1850282575 Enrollment ID: O20040323000387 |
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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 Jun Ying Ao 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 |
Dr Jun Ying Ao, PSYD 14600 Nw Cornell Rd, Portland, OR 97229-5442 Ph: (503) 645-3581 | Dr Jun Ying Ao, PSYD 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 Ph: (503) 645-3581 |
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