Look up the most recent NPI and PECOS records

Juliana Mogielnicki Bernstein

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Ppv350, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Juliana Mogielnicki Bernstein does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1588817944
Provider Type
Individual
Full Name
Bernstein, Juliana Mogielnicki
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/29/2008
Last Updated
6/12/2012

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Ppv350, Portland, OR 97239-3011

(503) 494-8562

(503) 494-6324

Mailing Location

3181 SW Sam Jackson Park Rd, Ppv350, Portland, OR 97239-3011

(503) 494-8562

(503) 494-6324

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA154104 Oregon
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA60058289 Washington

Provider Identifiers

ID	Description	Issuer
ID 0243061	Description Other	Issuer L & I Washington
ID 8532269	Description Medicaid	Issuer Unlisted Washington

Juliana Mogielnicki Bernstein

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Wright, Jessica Lesley

Eure, Ann Elizabeth

Owens, Gabriel P

Ballard, Cody Lee

Bush, Lisa D

Holmes, Lauren Rebecca

Walter, Molly Ann

Ordway, Emma Claire

Rozek, Jennifer Christine

Jones, Carmen M