Mrs Mary Ann Custer, FNP - Nurse Practitioner in Tigard, OR

Mrs Mary Ann Custer, FNP is a Nurse Practitioner - Family based in Tigard, Oregon. Mrs Mary Ann Custer is licensed to practice in Oregon (license number 200850006NP) and her current practice location is 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 216-0700.

NPI number for Mrs Mary Ann Custer is 1891972865 and her current mailing address is Po Box 3158, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891972865.

Contact Information

Mrs Mary Ann Custer, FNP
18040 Sw Lower Boones Ferry Rd, Suite 100,
Tigard, OR 97224-7258
(503) 216-0700
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mary Ann Custer
GenderFemale
SpecialityNurse Practitioner - Family
Location18040 Sw Lower Boones Ferry Rd, Tigard, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891972865
  • Provider Enumeration Date: 01/22/2008
  • Last Update Date: 10/28/2012

Medical Identifiers

Medical identifiers for Mrs Mary Ann Custer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891972865NPI-NPPES
218626MedicaidOR
P00650720OtherORRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 200850006NP (Oregon)Primary

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. Mrs Mary Ann Custer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Mary Ann Custer, FNP
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Mrs Mary Ann Custer, FNP
18040 Sw Lower Boones Ferry Rd, Suite 100,
Tigard, OR 97224-7258

Ph: (503) 216-0700

Reviews and Comments


Nurse Practitioner Nurses in Tigard, OR

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Practice Location: 12442 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223
Phone: 503-216-9200    
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Practice Location: 12115 Sw 70th Ave Ste 202, Tigard, OR 97223
Phone: 503-404-2338    

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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.

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