Laura B O'connor, PSY D, MFT, BCBA in Portland, OR

Laura B O'connor, PSY D, MFT, BCBA is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. Her current practice location is 4640 S Macadam Ave Ste 90, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 292-0765.

Laura B O'connor is licensed to practice in California (license number 29491) 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 1215141288.

Contact Information

	Laura B O'connor, PSY D, MFT, BCBA
	4640 S Macadam Ave Ste 90, Portland, OR 97239-4285
	(503) 292-0765
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura B O'connor
Gender	Female
Speciality	Psychologist - Clinical
Location	4640 S Macadam Ave Ste 90, 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: 1215141288
Provider Enumeration Date: 05/09/2007
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 1153843867
Enrollment ID: I20250321001647

Medical Identifiers

Medical identifiers for Laura B O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215141288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3371 (Oregon)	Secondary
106H00000X	Marriage & Family Therapist	44226 (California)	Secondary
225C00000X	Rehabilitation Counselor	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	MFC 44226 (California)	Secondary
103TC0700X	Psychologist - Clinical	29491 (California)	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. Laura B O'connor allows following entities to bill medicare on her behalf.

Entity Name	Progressive Rehabilitation Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790760908 PECOS PAC ID: 3476547258 Enrollment ID: O20040413001850

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. Laura B O'connor 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
Laura B O'connor, PSY D, MFT, BCBA 4640 S Macadam Ave Ste 90, Portland, OR 97239-4285 Ph: (310) 883-5431	Laura B O'connor, PSY D, MFT, BCBA 4640 S Macadam Ave Ste 90, Portland, OR 97239-4285 Ph: (503) 292-0765

Reviews and Comments

Psychologist in Portland, OR

Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692
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Mrs. Nellie Cichon, CADC 1 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8202 N Denver Ave, Portland, OR 97217 Phone: 503-285-3200 Fax: 503-245-6263
Alison D. Armour, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000
Laura Isabel Miranda Olivera, MA, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219 Phone: 855-295-3276 Fax: 888-588-2752

Laura B O'connor, PSY D, MFT, BCBA - Medicare Psychologist in Portland, OR