Dr Marty Dale Surface, DNP, FNP-BC, ACHPN in Vancouver, WA

Dr Marty Dale Surface, DNP, FNP-BC, ACHPN is a medicare enrolled "Nurse Practitioner - Family" in Vancouver, Washington. His current practice location is 1601 E 4th Plain Blvd, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 905-1749.

Dr Marty Dale Surface is licensed to practice in Oregon (license number 201250206NP) 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 1710994058.

Contact Information

	Dr Marty Dale Surface, DNP, FNP-BC, ACHPN
	1601 E 4th Plain Blvd, Vancouver, WA 98661-3713
	(360) 905-1749
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Marty Dale Surface
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1601 E 4th Plain Blvd, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710994058
Provider Enumeration Date: 08/01/2006
Last Update Date: 05/27/2022

Medicare PECOS Information:

PECOS PAC ID: 4688806573
Enrollment ID: I20150515002048

Medical Identifiers

Medical identifiers for Dr Marty Dale Surface such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710994058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201250206NP (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 Marty Dale Surface allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Marty Dale Surface 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
Dr Marty Dale Surface, DNP, FNP-BC, ACHPN 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 Ph: (503) 383-8410	Dr Marty Dale Surface, DNP, FNP-BC, ACHPN 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 Ph: (360) 905-1749

Reviews and Comments

Nurse Practitioner Nurses in Vancouver, WA

Mrs. Tracy Lynn Clason, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Se 124th Ave, Suite 22, Vancouver, WA 98684 Phone: 360-882-7603 Fax: 360-896-0337
Ms. Mary Louise Kroske, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Ne 86th St, Vancouver, WA 98662 Phone: 425-359-6706 Fax: 369-604-6777
Julie Ann Thompson, FNP-C. PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 E 4th Plain Blvd Bldg 11, Vancouver, WA 98661 Phone: 360-696-4061
Shannon Kristine Urban, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100
Mr. Richard Francis Gebhardt, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228
Todd Skenandore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 110, Vancouver, WA 98686 Phone: 360-882-2778
Mr. John A Zeier, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 E 33rd St Ste 206, Vancouver, WA 98663 Phone: 360-695-1334 Fax: 360-992-1159

Dr Marty Dale Surface, DNP, FNP-BC, ACHPN - Medicare Nurse Practitioner in Vancouver, WA