Mary N Kudoja, FNP-BC in Clackamas, OR - Medicare Nurse Practitioner

Mary N Kudoja, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Clackamas, Oregon. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Portland Adventist Medical Center and her current practice location is 10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 659-0880.

Mary N Kudoja is licensed to practice in Oregon (license number 10001428) 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 1770945263.

Contact Information

	Mary N Kudoja, FNP-BC
	10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705
	(503) 659-0880
	(503) 659-0880

Map and Direction

Provider's Profile

Full Name	Mary N Kudoja
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	10151 Se Sunnyside Rd Ste 100, Clackamas, 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:

Mary N Kudoja graduated from nursing school in 2015

NPI Data:

NPI Number: 1770945263
Provider Enumeration Date: 03/23/2016
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3870892417
Enrollment ID: I20230825000828

Medical Identifiers

Medical identifiers for Mary N Kudoja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770945263	NPI	-	NPPES
100054720	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10001428 (Oregon)	Primary
363L00000X	Nurse Practitioner	6843-33 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Portland	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portland Adventist Medical Center	3274908819	242

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. Mary N Kudoja allows following entities to bill medicare on her behalf.

Entity Name	Portland Adventist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750091021 PECOS PAC ID: 3274908819 Enrollment ID: O20230412001327

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. Mary N Kudoja 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
Mary N Kudoja, FNP-BC 2502 S Ashland Ave, Green Bay, WI 54304-5252 Ph: (920) 496-4700	Mary N Kudoja, FNP-BC 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 Ph: (503) 659-0880

Reviews and Comments

Nurse Practitioner Nurses in Clackamas, OR

Ms. Nancy Novig, CRNA, MS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-3860
Sharon F Maxey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Trisha Mendoza Lopez, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Jennifer K.w. Ching, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435
Ms. Sunny Elizabeth St. Germain, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Amanda Ankeny, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015 Phone: 503-659-1694
Mrs. Kelcey Chilcott, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9290 Se Sunnybrook Blvd, 200, Clackamas, OR 97015 Phone: 503-659-1694

Mary N Kudoja, FNP-BC - Medicare Nurse Practitioner in Clackamas, OR