Mr Jeremiah Lee Eldred, APRN in Portland, OR - Medicare Nurse Practitioner

Mr Jeremiah Lee Eldred, APRN is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Riverside Family Clinic and his current practice location is 1350 Ne 122nd Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 408-7008.

Mr Jeremiah Lee Eldred is licensed to practice in Oregon (license number 201150192NP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700016698.

Contact Information

	Mr Jeremiah Lee Eldred, APRN
	1350 Ne 122nd Ave, Portland, OR 97230-2011
	(503) 408-7008
	(503) 408-7045

Map and Direction

Provider's Profile

Full Name	Mr Jeremiah Lee Eldred
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	1350 Ne 122nd Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jeremiah Lee Eldred graduated from nursing school in 2010

NPI Data:

NPI Number: 1700016698
Provider Enumeration Date: 07/25/2009
Last Update Date: 03/31/2020

Medicare PECOS Information:

PECOS PAC ID: 2062688294
Enrollment ID: I20120110000268

Medical Identifiers

Medical identifiers for Mr Jeremiah Lee Eldred such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700016698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN39486 (Montana)	Secondary
363LF0000X	Nurse Practitioner - Family	201150192NP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Poplar Community Hospital	Poplar, MT	Hospital
Trinity Hospital	Wolf point, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Family Clinic	7810989506	4

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. Mr Jeremiah Lee Eldred allows following entities to bill medicare on his behalf.

Entity Name	Riverside Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255351862 PECOS PAC ID: 7810989506 Enrollment ID: O20040401001068

Entity Name	Wolf Point Clinic Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992722904 PECOS PAC ID: 3678546660 Enrollment ID: O20040817001372

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. Mr Jeremiah Lee Eldred 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
Mr Jeremiah Lee Eldred, APRN Po Box 92900, Portland, OR 97292-0900 Ph: (360) 608-9017	Mr Jeremiah Lee Eldred, APRN 1350 Ne 122nd Ave, Portland, OR 97230-2011 Ph: (503) 408-7008

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

Mr Jeremiah Lee Eldred, APRN - Medicare Nurse Practitioner in Portland, OR