Gillian C Rosicky, - Medicare Nurse Practitioner in Lake Oswego, OR

Gillian C Rosicky, is a medicare enrolled "Nurse Practitioner - Family" in Lake Oswego, Oregon. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 4015 Mercantile Dr, Suite 200, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-1500.

Gillian C Rosicky is licensed to practice in Oregon (license number 200050079NP) 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 1295789428.

Contact Information

Gillian C Rosicky,
4015 Mercantile Dr, Suite 200,
Lake Oswego, OR 97035-2552
(503) 216-1500
(503) 216-1515

Map and Direction




Provider's Profile

Full NameGillian C Rosicky
GenderFemale
SpecialityNurse Practitioner
Experience24 Years
Location4015 Mercantile Dr, Lake Oswego, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gillian C Rosicky graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1295789428
  • Provider Enumeration Date: 05/20/2006
  • Last Update Date: 04/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8628097821
  • Enrollment ID: I20051116001065

Medical Identifiers

Medical identifiers for Gillian C Rosicky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295789428NPI-NPPES
P00396908OtherORRR MEDICARE - PHS
262381MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 096007017RN (Oregon)Secondary
363LF0000XNurse Practitioner - Family 200050079NP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344

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. Gillian C Rosicky 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. Gillian C Rosicky 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
Gillian C Rosicky,
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Gillian C Rosicky,
4015 Mercantile Dr, Suite 200,
Lake Oswego, OR 97035-2552

Ph: (503) 216-1500

Reviews and Comments


Nurse Practitioner Nurses in Lake Oswego, OR

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Anthony Hernandez,
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Phone: 503-603-7355    
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Phone: 503-216-1500    

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.