Maryam Saudagaran, AGPCNP in Portland, OR - Medicare Nurse Practitioner

Maryam Saudagaran, AGPCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Portland, Oregon. She graduated from nursing school in 2022 and has 2 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 6350 Ne Halsey St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-2669.

Maryam Saudagaran is licensed to practice in Oregon (license number 10008586) 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 1083248504.

Contact Information

	Maryam Saudagaran, AGPCNP
	6350 Ne Halsey St, Portland, OR 97213-4720
	(503) 215-2669
	Not Available

Map and Direction

Provider's Profile

Full Name	Maryam Saudagaran
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	6350 Ne Halsey St, 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:

Maryam Saudagaran graduated from nursing school in 2022

NPI Data:

NPI Number: 1083248504
Provider Enumeration Date: 02/24/2020
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8729466776
Enrollment ID: I20230825001975

Medical Identifiers

Medical identifiers for Maryam Saudagaran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083248504	NPI	-	NPPES
2209323	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP61297081 (Washington)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP61297081 (Washington)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	10008586 (Oregon)	Primary
163W00000X	Registered Nurse	RN60976395 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	6305755000	20

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. Maryam Saudagaran 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	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043366172 PECOS PAC ID: 6305755000 Enrollment ID: O20040126000526

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. Maryam Saudagaran 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
Maryam Saudagaran, AGPCNP Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Maryam Saudagaran, AGPCNP 6350 Ne Halsey St, Portland, OR 97213-4720 Ph: (503) 215-2669

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

Maryam Saudagaran, AGPCNP - Medicare Nurse Practitioner in Portland, OR