Keeona G Vance, - Medicare Nurse Practitioner in Portland, OR

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Keeona G Vance, is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. Her current practice location is 3550 N Interstate Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 813-2000.

Keeona G Vance is licensed to practice in Oregon (license number 202208494NP-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 1528636156.

Contact Information

Keeona G Vance,
3550 N Interstate Ave,
Portland, OR 97227-1196
(503) 813-2000
Not Available

Map and Direction




Provider's Profile

Full NameKeeona G Vance
GenderFemale
SpecialityNurse Practitioner - Family
Location3550 N Interstate Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528636156
  • Provider Enumeration Date: 06/10/2021
  • Last Update Date: 10/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557732989
  • Enrollment ID: I20230124000146

Medical Identifiers

Medical identifiers for Keeona G Vance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528636156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 202208494NP-PP (Oregon)Secondary
363LF0000XNurse Practitioner - Family 202208494NP-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. Keeona G Vance allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20050627000226

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. Keeona G Vance 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
Keeona G Vance,
15 N Going St,
Portland, OR 97217-2913

Ph: (971) 570-2278		Keeona G Vance,
3550 N Interstate Ave,
Portland, OR 97227-1196

Ph: (503) 813-2000

Reviews and Comments


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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).

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