Miss Flortasha Laray Rodgers, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" provider in Portland, Oregon. Her current practice location is
10373 Ne Hancock St Ste 125, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 253-6754.
Miss Flortasha Laray Rodgers is licensed to practice in Oregon (license number 2018017288) 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 1043559529.
Healthcare Provider's Profile
Full Name | Miss Flortasha Laray Rodgers |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 10373 Ne Hancock St Ste 125, Portland, 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: 1043559529
- Provider Enumeration Date: 02/04/2013
- Last Update Date: 07/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769729540
- Enrollment ID: I20190429002563
Medical Identifiers
Medical identifiers for Miss Flortasha Laray Rodgers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043559529 | NPI | - | NPPES |
274147 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | 201141801RN (Oregon) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2018017288 (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. Miss Flortasha Laray Rodgers allows following entities to bill medicare on her behalf.
Entity Name | Outside In |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477005619 PECOS PAC ID: 9638256662 Enrollment ID: O20170919002919 |
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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. Miss Flortasha Laray Rodgers 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 |
Miss Flortasha Laray Rodgers, FNP-BC 10373 Ne Hancock St Ste 125, Portland, OR 97220-3873 Ph: () - | Miss Flortasha Laray Rodgers, FNP-BC 10373 Ne Hancock St Ste 125, Portland, OR 97220 Ph: (503) 253-6754 |
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