Emily Grace Douglass Fernando, PNP - Medicare Nurse Practitioner in Portland, OR

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Emily Grace Douglass Fernando, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Portland, Oregon. Her current practice location is 830 Ne 47th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-2339.

Emily Grace Douglass Fernando is licensed to practice in Oregon (license number 10000858) 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 1982304630.

Contact Information

Emily Grace Douglass Fernando, PNP
830 Ne 47th Ave,
Portland, OR 97213-2212
(503) 216-2339
Not Available

Map and Direction




Physician's Profile

Full NameEmily Grace Douglass Fernando
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location830 Ne 47th Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982304630
  • Provider Enumeration Date: 03/09/2023
  • Last Update Date: 03/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103284138
  • Enrollment ID: I20230622002403

Medical Identifiers

Medical identifiers for Emily Grace Douglass Fernando such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982304630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0008XPediatrics - Neurodevelopmental Disabilities 10000858 (Oregon)Secondary
363LP0200XNurse Practitioner - Pediatrics 10000858 (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. Emily Grace Douglass Fernando 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

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. Emily Grace Douglass Fernando 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
Emily Grace Douglass Fernando, PNP
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Emily Grace Douglass Fernando, PNP
830 Ne 47th Ave,
Portland, OR 97213-2212

Ph: (503) 216-2339

Reviews and Comments



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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.