Joanne M O'brien, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Creswell, Oregon. She graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is
180 Melton Rd, Creswell, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 222-7700.
Joanne M O'brien is licensed to practice in Oregon (license number 201602228NP-PP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063507762.
Provider's Profile
| Full Name | Joanne M O'brien |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 24 Years |
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| Location | 180 Melton Rd, Creswell, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Joanne M O'brien graduated from nursing school in 2002
NPI Data:
- NPI Number: 1063507762
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 01/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971591124
- Enrollment ID: I20250623001299
Medical Identifiers
Medical identifiers for Joanne M O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063507762 | NPI | - | NPPES |
| P01346092 | Other | OH | RAILROAD MEDICARE - MHCPI |
| 000000699826 | Other | OH | ANTHEM |
| 2398641 | Medicaid | OH | |
| 3810011350 | Medicaid | WV | |
| 000000680676 | Other | OH | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 201602228NP-PP (Oregon) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 48178 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | COA.07283.NP (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Providence Medical Foundation | 8921993205 | 1461 |
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. Joanne M O'brien allows following entities to bill medicare on her behalf.
| Entity Name | Providence Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871607762
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346 |
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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. Joanne M O'brien 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 |
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Joanne M O'brien, CFNP
1115 Se 164th Ave Dept 358,
Vancouver, WA 98683-8004
Ph: (360) 729-1253 | Joanne M O'brien, CFNP
180 Melton Rd,
Creswell, OR 97426
Ph: (541) 222-7700 |
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