Richard Jordan Delavan, FNP in Sherwood, OR - Medicare Nurse Practitioner

Richard Jordan Delavan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sherwood, Oregon. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 16770 Sw Edy Rd Ste 102a, Sherwood, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-9600.

Richard Jordan Delavan is licensed to practice in Oregon (license number 201909698NP-PP) 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 1174161319.

Contact Information

	Richard Jordan Delavan, FNP
	16770 Sw Edy Rd Ste 102a, Sherwood, OR 97140-9679
	(503) 216-9600
	(503) 216-9650

Map and Direction

Provider's Profile

Full Name	Richard Jordan Delavan
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	16770 Sw Edy Rd Ste 102a, Sherwood, 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:

Richard Jordan Delavan graduated from nursing school in 2017

NPI Data:

NPI Number: 1174161319
Provider Enumeration Date: 12/18/2019
Last Update Date: 10/13/2020

Medicare PECOS Information:

PECOS PAC ID: 3072948785
Enrollment ID: I20200127000179

Medical Identifiers

Medical identifiers for Richard Jordan Delavan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174161319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201909698NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Newberg Medical Center	Newberg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. Richard Jordan Delavan allows following entities to bill medicare on his 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

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. Richard Jordan Delavan 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
Richard Jordan Delavan, FNP Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Richard Jordan Delavan, FNP 16770 Sw Edy Rd Ste 102a, Sherwood, OR 97140-9679 Ph: (503) 216-9600

Reviews and Comments

Nurse Practitioner Nurses in Sherwood, OR

Melissa M Sanchez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650
Christopher Edward Green, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600
Patricia K Truhn, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650
Alma Sophia Draper, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600
Rose Waggoner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650
Julianne Florence Brock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600

Richard Jordan Delavan, FNP - Medicare Nurse Practitioner in Sherwood, OR