Dr Daniel Dominic Eric Roa, DNP, ARNP-PP, AGPCNP - Medicare Nurse Practitioner in Portland, OR

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Dr Daniel Dominic Eric Roa, DNP, ARNP-PP, AGPCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Portland, Oregon. His current practice location is 5316 N Greeley Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 720-8789.

Dr Daniel Dominic Eric Roa is licensed to practice in Oregon (license number 201507350NP-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801266119.

Contact Information

Dr Daniel Dominic Eric Roa, DNP, ARNP-PP, AGPCNP
5316 N Greeley Ave,
Portland, OR 97217-4113
(541) 720-8789
Not Available

Map and Direction




Provider's Profile

Full NameDr Daniel Dominic Eric Roa
GenderMale
SpecialityNurse Practitioner - Gerontology
Location5316 N Greeley Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801266119
  • Provider Enumeration Date: 09/29/2015
  • Last Update Date: 09/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1951665918
  • Enrollment ID: I20180711001954

Medical Identifiers

Medical identifiers for Dr Daniel Dominic Eric Roa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801266119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 201507350NP-PP (Oregon)Secondary
363LG0600XNurse Practitioner - Gerontology 201507350NP-PP (Oregon)Primary

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. Dr Daniel Dominic Eric Roa allows following entities to bill medicare on his behalf.
Entity NameCascadia Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336196401
PECOS PAC ID: 7618873761
Enrollment ID: O20031209000991
Entity NameCrm Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952674996
PECOS PAC ID: 3678720729
Enrollment ID: O20120824000811
Entity NameDaiya Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477027381
PECOS PAC ID: 6002158615
Enrollment ID: O20200309000992

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. Dr Daniel Dominic Eric Roa 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 AddressPractice Location Address
Dr Daniel Dominic Eric Roa, DNP, ARNP-PP, AGPCNP
5316 N Greeley Ave,
Portland, OR 97217-4113

Ph: (541) 720-8789		Dr Daniel Dominic Eric Roa, DNP, ARNP-PP, AGPCNP
5316 N Greeley Ave,
Portland, OR 97217-4113

Ph: (541) 720-8789

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
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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
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Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
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Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
Summer Morgan Massina, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209
Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
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Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205
Phone: 971-354-9242    
A'lissa Richards, PMHNP
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Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.