Kaitlyn Mary Mcgowan, AGPCNP-BC in Newberg, OR

Kaitlyn Mary Mcgowan, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Newberg, Oregon. Her current practice location is 1000 N Providence Dr Ste 120, Newberg, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 537-5900.

Kaitlyn Mary Mcgowan is licensed to practice in Oregon (license number 202008069NP-PP) 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 1619513769.

Contact Information

	Kaitlyn Mary Mcgowan, AGPCNP-BC
	1000 N Providence Dr Ste 120, Newberg, OR 97132-7582
	(503) 537-5900
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaitlyn Mary Mcgowan
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1000 N Providence Dr Ste 120, Newberg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619513769
Provider Enumeration Date: 11/25/2019
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0143658328
Enrollment ID: I20201204001284

Medical Identifiers

Medical identifiers for Kaitlyn Mary Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619513769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95013322 (California)	Secondary
363L00000X	Nurse Practitioner	202008069NP-PP (Oregon)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	202008069NP-PP (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. Kaitlyn Mary Mcgowan allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Gaps Health Or Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285279042 PECOS PAC ID: 2264868546 Enrollment ID: O20200204003064

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. Kaitlyn Mary Mcgowan 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
Kaitlyn Mary Mcgowan, AGPCNP-BC Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Kaitlyn Mary Mcgowan, AGPCNP-BC 1000 N Providence Dr Ste 120, Newberg, OR 97132-7582 Ph: (503) 537-5900

Reviews and Comments

Nurse Practitioner Nurses in Newberg, OR

Ms. Sheila M Smith, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1014 N Springbrook Rd Ste B, Newberg, OR 97132 Phone: 503-449-8988 Fax: 503-894-9194
Sheleen Wytcherley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 210, Newberg, OR 97132 Phone: 503-537-5900
Ms. Romnee Lynn Auerbach, ANP-BC,PMHS,PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 E 1st St, Newberg, OR 97132 Phone: 503-378-4874 Fax: 503-378-1271
Liya Mathew, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1840 E Portland Rd, Newberg, OR 97132 Phone: 888-227-3312
Katie Nicosia, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 470 N Villa Rd, Newberg, OR 97132 Phone: 503-406-1009 Fax: 503-200-2975
Amethyst White, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 617 N Main St, Newberg, OR 97132 Phone: 503-476-1431 Fax: 855-247-1666
Mr. James N. Cooke, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 N Providence Dr, Newberg, OR 97132 Phone: 503-537-1470

Kaitlyn Mary Mcgowan, AGPCNP-BC - Medicare Nurse Practitioner in Newberg, OR