Katie Conklin, ARNP in Portland, OR - Medicare Nurse Practitioner

Katie Conklin, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. Her current practice location is 301 Ne Knott St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 253-3910.

Katie Conklin is licensed to practice in Oregon (license number 201810182NP-PP) 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 1235546607.

Contact Information

	Katie Conklin, ARNP
	301 Ne Knott St, Portland, OR 97212-3014
	(503) 253-3910
	(503) 253-4297

Map and Direction

Provider's Profile

Full Name	Katie Conklin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	301 Ne Knott St, 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: 1235546607
Provider Enumeration Date: 07/17/2014
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2668792953
Enrollment ID: I20230517003579

Medical Identifiers

Medical identifiers for Katie Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235546607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	105604 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	201810182NP-PP (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. Katie Conklin allows following entities to bill medicare on her behalf.

Entity Name	Knott Street Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891741864 PECOS PAC ID: 8325050859 Enrollment ID: O20060626000191

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. Katie Conklin 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
Katie Conklin, ARNP 301 Ne Knott St, Portland, OR 97212-3014 Ph: (503) 253-3910	Katie Conklin, ARNP 301 Ne Knott St, Portland, OR 97212-3014 Ph: (503) 253-3910

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Katie Conklin, ARNP - Medicare Nurse Practitioner in Portland, OR