Steven Michael Prudencio, FNP in Roseburg, OR

Steven Michael Prudencio, FNP is a medicare enrolled "Family Medicine" physician in Roseburg, Oregon. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 340 Nw Medical Loop, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 464-5907.

Steven Michael Prudencio is licensed to practice in Oregon (license number 201909746NP-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 1811366545.

Contact Information

	Steven Michael Prudencio, FNP
	340 Nw Medical Loop, Roseburg, OR 97471-1645
	(541) 464-5907
	Not Available

Map and Direction

Physician's Profile

Full Name	Steven Michael Prudencio
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	340 Nw Medical Loop, Roseburg, 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:

Steven Michael Prudencio graduated from medical school in 2014

NPI Data:

NPI Number: 1811366545
Provider Enumeration Date: 09/23/2015
Last Update Date: 09/04/2025

Medicare PECOS Information:

PECOS PAC ID: 6800170531
Enrollment ID: I20200402001997

Medical Identifiers

Medical identifiers for Steven Michael Prudencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811366545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	201909746NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

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. Steven Michael Prudencio allows following entities to bill medicare on his behalf.

Entity Name	Diane Bolduc
Entity Type	Practitioner - Family Practice
Entity Identifiers	NPI Number: 1174537047 PECOS PAC ID: 8123098175 Enrollment ID: I20040728000594

Entity Name	Umpqua Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396751772 PECOS PAC ID: 0345233078 Enrollment ID: O20040511000463

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. Steven Michael Prudencio 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
Steven Michael Prudencio, FNP Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-1963	Steven Michael Prudencio, FNP 340 Nw Medical Loop, Roseburg, OR 97471-1645 Ph: (541) 464-5907

Reviews and Comments

Family Medicine Doctors in Roseburg, OR

Misha Marie Peel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596
Dr. John Travis Melling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 Fax: 541-646-3519
Candace Marie Hatton, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 272 Nw Medical Loop Ste B, Roseburg, OR 97471 Phone: 541-537-8007
Dr. Brandon W Bonds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Dr. Marie Hebert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 340 Nw Medical Loop, Roseburg, OR 97471 Phone: 541-464-5907 Fax: 541-464-8481
Dr. Gerald Andrew Jaworski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2282 Nw Troost St, Ste. 101, Roseburg, OR 97471 Phone: 541-673-0609 Fax: 541-440-9387
Vishal Kottapalli, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309

Steven Michael Prudencio, FNP - Medicare Nurse Practitioner in Roseburg, OR