Mary N Kudoja, FNP-BC - Medicare Nurse Practitioner in Clackamas, OR

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Mary N Kudoja, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Clackamas, Oregon. Her current practice location is 10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 659-0880.

Mary N Kudoja is licensed to practice in Oregon (license number 10001428) 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 1770945263.

Contact Information

Mary N Kudoja, FNP-BC
10151 Se Sunnyside Rd Ste 100,
Clackamas, OR 97015-5705
(503) 659-0880
(503) 659-0880

Map and Direction




Provider's Profile

Full NameMary N Kudoja
GenderFemale
SpecialityNurse Practitioner - Family
Location10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770945263
  • Provider Enumeration Date: 03/23/2016
  • Last Update Date: 09/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870892417
  • Enrollment ID: I20160503000506

Medical Identifiers

Medical identifiers for Mary N Kudoja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770945263NPI-NPPES
100054720MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 10001428 (Oregon)Primary
363L00000XNurse Practitioner 6843-33 (Wisconsin)Secondary

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. Mary N Kudoja allows following entities to bill medicare on her behalf.
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089
Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NameFlambeau Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700963048
PECOS PAC ID: 9032029871
Enrollment ID: O20070828000478
Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameLakeview Medical Center Inc Of Rice Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962
Entity NameFlambeau Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

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. Mary N Kudoja 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 AddressPractice Location Address
Mary N Kudoja, FNP-BC
2502 S Ashland Ave,
Green Bay, WI 54304-5252

Ph: (920) 496-4700		Mary N Kudoja, FNP-BC
10151 Se Sunnyside Rd Ste 100,
Clackamas, OR 97015-5705

Ph: (503) 659-0880

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.