Adam John Fishback, in Clackamas, OR - Medicare Certified Registered Nurse Anesthetist (crna)

Adam John Fishback, is a medicare enrolled "Registered Nurse" in Clackamas, Oregon. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 10180 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 813-2000.

Adam John Fishback is licensed to practice in Oregon (license number 201390444RN) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083295166.

Contact Information

	Adam John Fishback,
	10180 Se Sunnyside Rd, Clackamas, OR 97015-8970
	(503) 813-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Adam John Fishback
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	10180 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adam John Fishback graduated from nursing school in 2021

NPI Data:

NPI Number: 1083295166
Provider Enumeration Date: 04/20/2021
Last Update Date: 04/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7214329986
Enrollment ID: I20220110002261

Medical Identifiers

Medical identifiers for Adam John Fishback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083295166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201390444RN (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Northwest	5799688230	1484

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. Adam John Fishback allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Adam John Fishback 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
Adam John Fishback, 913 Ne Birchwood Dr, Hillsboro, OR 97124-3373 Ph: (503) 523-6245	Adam John Fishback, 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 813-2000

Reviews and Comments

Registered Nurse Nurses in Clackamas, OR

Miss Wendy Anne Batchelor Smith, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015 Phone: 503-794-3838 Fax: 503-794-3850
Megan Jensen, FNP-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694
Marta Luiza Trikur, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Evelyn Brady, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-499-5322
Ruth Ann Breitenbach, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Road, Clackamas, OR 97015 Phone: 503-571-4468 Fax: 503-571-4291
Trang Tran, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Rd, Ste 200, Clackamas, OR 97015 Phone: 503-794-3830 Fax: 503-794-3850
Heather Carey, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000

Adam John Fishback, - Medicare Certified Registered Nurse Anesthetist (crna) in Clackamas, OR