Joy Audrey Gummow, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Molalla, Oregon. Her current practice location is
861 W Main St, Molalla, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 874-5653.
Joy Audrey Gummow is licensed to practice in Oregon (license number 10030186) 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 1619709441.
Physician's Profile
Full Name | Joy Audrey Gummow |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 861 W Main St, Molalla, 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: 1619709441
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840730289
- Enrollment ID: I20240911003937
Medical Identifiers
Medical identifiers for Joy Audrey Gummow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619709441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 10030186 (Oregon) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10030186 (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. Joy Audrey Gummow allows following entities to bill medicare on her behalf.
Entity Name | Silverton Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
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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. Joy Audrey Gummow 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 |
Joy Audrey Gummow, FNP-C Po Box 3417, Portland, OR 97208-3417 Ph: (503) 413-3900 | Joy Audrey Gummow, FNP-C 861 W Main St, Molalla, OR 97038-9352 Ph: (503) 874-5653 |
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