Ms Kelly Renee O'brien, DNP in Roseburg, OR - Medicare Nurse Practitioner

Ms Kelly Renee O'brien, DNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Roseburg, Oregon. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Icco Llc and her current practice location is 913 Nw Garden Valley Blvd, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 440-1000.

Ms Kelly Renee O'brien is licensed to practice in Oregon (license number 200450145NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609893395.

Contact Information

	Ms Kelly Renee O'brien, DNP
	913 Nw Garden Valley Blvd, Roseburg, OR 97471
	(541) 440-1000
	(541) 440-1230

Map and Direction

Provider's Profile

Full Name	Ms Kelly Renee O'brien
Gender	Female
Speciality	Nurse Practitioner
Experience	28 Years
Location	913 Nw Garden Valley Blvd, Roseburg, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kelly Renee O'brien graduated from nursing school in 1996

NPI Data:

NPI Number: 1609893395
Provider Enumeration Date: 07/17/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7618009648
Enrollment ID: I20100709000521

Medical Identifiers

Medical identifiers for Ms Kelly Renee O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609893395	NPI	-	NPPES
93-1148588	Other	OR	EMPLOYER IDENTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	200450145NP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icco Llc	1355406729	105

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. Ms Kelly Renee O'brien allows following entities to bill medicare on her behalf.

Entity Name	Icco Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510

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. Ms Kelly Renee O'brien 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
Ms Kelly Renee O'brien, DNP 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Ph: (541) 440-1000	Ms Kelly Renee O'brien, DNP 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Ph: (541) 440-1000

Reviews and Comments

Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356
Charlene Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Carol Lynn Collins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sherri Twedt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100

Ms Kelly Renee O'brien, DNP - Medicare Nurse Practitioner in Roseburg, OR