Maria Kay Kulla, in Gresham, OR - Medicare Nurse Practitioner

Maria Kay Kulla, is a medicare enrolled "Nurse Practitioner - Family" in Gresham, Oregon. Her current practice location is 24900 Se Stark St, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 413-7162.

Maria Kay Kulla is licensed to practice in Oregon (license number 0008589) 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 1346924446.

Contact Information

	Maria Kay Kulla,
	24900 Se Stark St, Gresham, OR 97030-3355
	(503) 413-7162
	(503) 674-4140

Map and Direction

Provider's Profile

Full Name	Maria Kay Kulla
Gender	Female
Speciality	Nurse Practitioner - Family
Location	24900 Se Stark St, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346924446
Provider Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8527426659
Enrollment ID: I20230622001650

Medical Identifiers

Medical identifiers for Maria Kay Kulla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346924446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0008589 (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. Maria Kay Kulla allows following entities to bill medicare on her behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

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. Maria Kay Kulla 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
Maria Kay Kulla, 44995 Se Paha Loop Dr, Sandy, OR 97055-9424 Ph: (503) 929-7971	Maria Kay Kulla, 24900 Se Stark St, Gresham, OR 97030-3355 Ph: (503) 413-7162

Reviews and Comments

Nurse Practitioner Nurses in Gresham, OR

Vivian B Vargo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185
Elana Underwood Scharff, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599
Renae Rykaczewski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030 Phone: 530-988-5155
Alma San Juan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520
Mrs. Crystal Luna, MSN, APRN-RX, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050
Ms. Heike K. Huchler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050
Robert Mayer, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9500

Maria Kay Kulla, - Medicare Nurse Practitioner in Gresham, OR