Kathleen Marie Riordan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sutherlin, Oregon. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Evergreen Family Medicine Pc, Centennial Medical Group East Llc and her current practice location is
249 Dakota St, Sutherlin, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 677-7200.
Kathleen Marie Riordan is licensed to practice in Oregon (license number 10034451) 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 1033984554.
Provider's Profile
| Full Name | Kathleen Marie Riordan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 249 Dakota St, Sutherlin, 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:
- Kathleen Marie Riordan graduated from nursing school in 2023
NPI Data:
- NPI Number: 1033984554
- Provider Enumeration Date: 11/15/2023
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325481864
- Enrollment ID: I20241126002171
Medical Identifiers
Medical identifiers for Kathleen Marie Riordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033984554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 7923124-4405 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10034451 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Evergreen Family Medicine Pc | 3870485139 | 53 |
| Centennial Medical Group East Llc | 9234397878 | 61 |
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. Kathleen Marie Riordan allows following entities to bill medicare on her behalf.
| Entity Name | Centennial Medical Group East Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134436637
PECOS PAC ID: 9234397878
Enrollment ID: O20120228000510 |
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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. Kathleen Marie Riordan 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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Kathleen Marie Riordan, FNP
2570 Nw Edenbower Blvd Ste 100,
Roseburg, OR 97471-6214
Ph: (541) 677-7200 | Kathleen Marie Riordan, FNP
249 Dakota St,
Sutherlin, OR 97479-9908
Ph: (541) 677-7200 |
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