Emily Kathryn Goerke, CRNA in Portland, OR - Medicare Nurse Anesthetist, Certified Registered

Emily Kathryn Goerke, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. Her current practice location is 6400 Se Lake Road, Suite 130, Anesthesia Associates Northwest, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 594-1774.

Emily Kathryn Goerke is licensed to practice in Oregon (license number 201160047CRNA) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639476153.

Contact Information

	Emily Kathryn Goerke, CRNA
	6400 Se Lake Road, Suite 130, Anesthesia Associates Northwest, Portland, OR 97222
	(503) 594-1774
	(503) 594-1775

Map and Direction

Provider's Profile

Full Name	Emily Kathryn Goerke
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	6400 Se Lake Road, Suite 130, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639476153
Provider Enumeration Date: 02/18/2011
Last Update Date: 02/28/2014

Medicare PECOS Information:

PECOS PAC ID: 8921283904
Enrollment ID: I20120130000049

Medical Identifiers

Medical identifiers for Emily Kathryn Goerke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639476153	NPI	-	NPPES
ENROLLED	Medicaid	MN
ENROLLED	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R 184004-9 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	201160047CRNA (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. Emily Kathryn Goerke allows following entities to bill medicare on her behalf.

Entity Name	Salem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131

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. Emily Kathryn Goerke 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
Emily Kathryn Goerke, CRNA 5741 Sw Miles St, Portland, OR 97219 Ph: (507) 284-2511	Emily Kathryn Goerke, CRNA 6400 Se Lake Road, Suite 130, Anesthesia Associates Northwest, Portland, OR 97222 Ph: (503) 594-1774

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Trevor Sawyer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7725
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641

Emily Kathryn Goerke, CRNA - Medicare Nurse Anesthetist, Certified Registered in Portland, OR