Kathleen Irene Rodenburg, PA-C in Portland, OR - Medicare Physician Assistant

Kathleen Irene Rodenburg, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Portland, Oregon. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Orthopedic And Fracture Clinic Pc and her current practice location is 11782 Sw Barnes Rd Ste 300, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 214-5200.

Kathleen Irene Rodenburg is licensed to practice in Oregon (license number PA205646) 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 1003286360.

Contact Information

	Kathleen Irene Rodenburg, PA-C
	11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933
	(503) 214-5200
	(503) 906-6613

Map and Direction

Provider's Profile

Full Name	Kathleen Irene Rodenburg
Gender	Female
Speciality	Physician Assistant
Experience	9 Years
Location	11782 Sw Barnes Rd Ste 300, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Irene Rodenburg graduated from nursing school in 2015

NPI Data:

NPI Number: 1003286360
Provider Enumeration Date: 09/30/2015
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 6800106253
Enrollment ID: I20211213002015

Medical Identifiers

Medical identifiers for Kathleen Irene Rodenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003286360	NPI	-	NPPES
PA205646	Other	OR	PA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA205646 (Oregon)	Secondary
363AS0400X	Physician Assistant - Surgical	PA205646 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic And Fracture Clinic Pc	1052219953	45

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. Kathleen Irene Rodenburg 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
Kathleen Irene Rodenburg, PA-C 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 Ph: (503) 214-5520	Kathleen Irene Rodenburg, PA-C 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 Ph: (503) 214-5200

Reviews and Comments

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Kathleen Irene Rodenburg, PA-C - Medicare Physician Assistant in Portland, OR