Andrea Marie Polo, FNP in Portland, OR - Medicare Nurse Practitioner

Andrea Marie Polo, FNP is a medicare enrolled "Nurse Practitioner" in Portland, Oregon. Her current practice location is 6035 Se Milwaukie Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 258-1120.

Andrea Marie Polo is licensed to practice in Oregon (license number 10031339) 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 1093393951.

Contact Information

	Andrea Marie Polo, FNP
	6035 Se Milwaukie Ave, Portland, OR 97202-5344
	(971) 258-1120
	(866) 309-2838

Map and Direction

Provider's Profile

Full Name	Andrea Marie Polo
Gender	Female
Speciality	Nurse Practitioner
Location	6035 Se Milwaukie Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093393951
Provider Enumeration Date: 03/31/2021
Last Update Date: 11/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1557762978
Enrollment ID: I20231208002769

Medical Identifiers

Medical identifiers for Andrea Marie Polo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093393951	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP61614580 (Washington)	Secondary
363L00000X	Nurse Practitioner	10031339 (Oregon)	Primary
363LF0000X	Nurse Practitioner - Family	95016674 (California)	Secondary

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. Andrea Marie Polo allows following entities to bill medicare on her behalf.

Entity Name	Universal Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376632877 PECOS PAC ID: 2365332368 Enrollment ID: O20040315001597

Entity Name	Molina Healthcare Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348

Entity Name	Central Health Plan Of California, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559

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. Andrea Marie Polo 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
Andrea Marie Polo, FNP 738 Bancroft Rd, Walnut Creek, CA 94598-1531 Ph: (866) 389-2727	Andrea Marie Polo, FNP 6035 Se Milwaukie Ave, Portland, OR 97202-5344 Ph: (971) 258-1120

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Andrea Marie Polo, FNP - Medicare Nurse Practitioner in Portland, OR