Kendra Kathryn Mundstock, AGACNP-BC in Clackamas, OR

Kendra Kathryn Mundstock, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Clackamas, Oregon. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Medical Associates Of The Medical University Of South Carol and her current practice location is 10100 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 939-7191.

Kendra Kathryn Mundstock is licensed to practice in Oregon (license number 201905528NP-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 1679041115.

Contact Information

	Kendra Kathryn Mundstock, AGACNP-BC
	10100 Se Sunnyside Rd, Clackamas, OR 97015-8970
	(503) 939-7191
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendra Kathryn Mundstock
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	10100 Se Sunnyside Rd, Clackamas, 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:

Kendra Kathryn Mundstock graduated from nursing school in 2018

NPI Data:

NPI Number: 1679041115
Provider Enumeration Date: 11/02/2018
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6507101037
Enrollment ID: I20240422001517

Medical Identifiers

Medical identifiers for Kendra Kathryn Mundstock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679041115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	201905528NP-PP (Oregon)	Primary
363LA2100X	Nurse Practitioner - Acute Care	25041 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Musc Medical Center	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Medical Associates Of The Medical University Of South Carol	6305758574	1472

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. Kendra Kathryn Mundstock allows following entities to bill medicare on her behalf.

Entity Name	University Medical Associates Of The Medical University Of South Carol
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

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. Kendra Kathryn Mundstock 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
Kendra Kathryn Mundstock, AGACNP-BC 3181 Sw Sam Jackson Park Rd # 13k, Portland, OR 97239-3011 Ph: () -	Kendra Kathryn Mundstock, AGACNP-BC 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 939-7191

Reviews and Comments

Nurse Practitioner Nurses in Clackamas, OR

Ashley R Jordan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000
Ms. Nancy Novig, CRNA, MS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-3860
Sharon F Maxey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Trisha Mendoza Lopez, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Jennifer K.w. Ching, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435
Ms. Sunny Elizabeth St. Germain, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Brenda Lizeth Quintero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11785 Se Falbrook Dr, Clackamas, OR 97015 Phone: 971-998-9485

Kendra Kathryn Mundstock, AGACNP-BC - Medicare Nurse Practitioner in Clackamas, OR