Marivic Rustia, in Portland, OR - Medicare Nurse Practitioner

Marivic Rustia, is a medicare enrolled "Nurse Practitioner - Acute Care" in Portland, Oregon. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Clinics Llc and her current practice location is 2222 Nw Lovejoy St Ste 411, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 413-5598.

Marivic Rustia is licensed to practice in Texas (license number AP139794) 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 1376012104.

Contact Information

	Marivic Rustia,
	2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102
	(503) 413-5598
	Not Available

Map and Direction

Provider's Profile

Full Name	Marivic Rustia
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2222 Nw Lovejoy St Ste 411, Portland, 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:

Marivic Rustia graduated from nursing school in 2017

NPI Data:

NPI Number: 1376012104
Provider Enumeration Date: 11/21/2018
Last Update Date: 10/12/2021

Medicare PECOS Information:

PECOS PAC ID: 3577897495
Enrollment ID: I20210805002440

Medical Identifiers

Medical identifiers for Marivic Rustia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376012104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP139794 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Good Samaritan Medical Center	Portland, OR	Hospital
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Clinics Llc	0244144004	633

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. Marivic Rustia allows following entities to bill medicare on her behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

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. Marivic Rustia 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
Marivic Rustia, 255 Sw Harrison St Apt 11d, Portland, OR 97201-5387 Ph: (682) 240-5523	Marivic Rustia, 2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102 Ph: (503) 413-5598

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: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 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

Marivic Rustia, - Medicare Nurse Practitioner in Portland, OR