Mr Kellen Taverniti Martyn, CRNA in Clackamas, OR - Medicare Nurse Anesthetist, Certified Registered

Mr Kellen Taverniti Martyn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clackamas, Oregon. His current practice location is 10180 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 652-2880.

Mr Kellen Taverniti Martyn is licensed to practice in Oregon (license number 201160010CRNA) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255637237.

Contact Information

	Mr Kellen Taverniti Martyn, CRNA
	10180 Se Sunnyside Rd, Clackamas, OR 97015-8970
	(503) 652-2880
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kellen Taverniti Martyn
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	10180 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255637237
Provider Enumeration Date: 02/08/2011
Last Update Date: 02/11/2011

Medicare PECOS Information:

PECOS PAC ID: 1355571209
Enrollment ID: I20140220001480

Medical Identifiers

Medical identifiers for Mr Kellen Taverniti Martyn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255637237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	200541945RN (Oregon)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	201160010CRNA (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. Mr Kellen Taverniti Martyn allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Mr Kellen Taverniti Martyn 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
Mr Kellen Taverniti Martyn, CRNA 1950 Sw Camelot Ct Apt 503, Portland, OR 97225-3754 Ph: (509) 475-1524	Mr Kellen Taverniti Martyn, CRNA 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 652-2880

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Clackamas, OR

Jessica Dawn Sexton-dorsett, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Natalie Christine Kramer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Linda Newbloom, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Sean Eric Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000
Kyle Bowling, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Kenneth E Allen, CRNA, MSA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Mrs. Heidi Egan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4698

Mr Kellen Taverniti Martyn, CRNA - Medicare Nurse Anesthetist, Certified Registered in Clackamas, OR