Dr Kara R Johansen, PSYD - Medicare Psychologist in Portland, OR

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Dr Kara R Johansen, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. Her current practice location is 545 Ne 47th Ave Ste 102, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-6262.

Dr Kara R Johansen is licensed to practice in Oregon (license number 3190) 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 1124220389.

Contact Information

Dr Kara R Johansen, PSYD
545 Ne 47th Ave Ste 102,
Portland, OR 97213-2237
(503) 215-6262
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kara R Johansen
GenderFemale
SpecialityPsychologist - Clinical
Location545 Ne 47th Ave Ste 102, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124220389
  • Provider Enumeration Date: 06/01/2007
  • Last Update Date: 09/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608065842
  • Enrollment ID: I20200819003285

Medical Identifiers

Medical identifiers for Dr Kara R Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124220389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 3190 (Oregon)Primary
103TC0700XPsychologist - Clinical P0000002916 (Tennessee)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. Dr Kara R Johansen allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952482275
PECOS PAC ID: 3072415652
Enrollment ID: O20040123000519
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053862714
PECOS PAC ID: 7315856010
Enrollment ID: O20040304001330

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 Kara R Johansen 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
Dr Kara R Johansen, PSYD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Dr Kara R Johansen, PSYD
545 Ne 47th Ave Ste 102,
Portland, OR 97213-2237

Ph: (503) 215-6262

Reviews and Comments


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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.

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