Mrs Regina M Ardiana, FNPC in Coos Bay, OR - Medicare Nurse Practitioner

Mrs Regina M Ardiana, FNPC is a medicare enrolled "Nurse Practitioner - Family" in Coos Bay, Oregon. Her current practice location is 1775 Thompson Rd, Coos Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 269-8111.

Mrs Regina M Ardiana is licensed to practice in Oregon (license number 201505729NP-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 1043359094.

Contact Information

	Mrs Regina M Ardiana, FNPC
	1775 Thompson Rd, Coos Bay, OR 97420
	(541) 269-8111
	(541) 269-8469

Map and Direction

Provider's Profile

Full Name	Mrs Regina M Ardiana
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1775 Thompson Rd, Coos Bay, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043359094
Provider Enumeration Date: 02/06/2007
Last Update Date: 02/03/2020

Medicare PECOS Information:

PECOS PAC ID: 3678568748
Enrollment ID: I20160203002720

Medical Identifiers

Medical identifiers for Mrs Regina M Ardiana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043359094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201505729NP-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. Mrs Regina M Ardiana allows following entities to bill medicare on her behalf.

Entity Name	Bay Area Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301

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. Mrs Regina M Ardiana 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
Mrs Regina M Ardiana, FNPC 1775 Thompson Rd, Coos Bay, OR 97420 Ph: (541) 269-8111	Mrs Regina M Ardiana, FNPC 1775 Thompson Rd, Coos Bay, OR 97420 Ph: (541) 269-8111

Reviews and Comments

Nurse Practitioner Nurses in Coos Bay, OR

Jenny V Tausch, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Central Ave Ste 212, Coos Bay, OR 97420 Phone: 401-217-9333 Fax: 541-543-2470
Angela Renee York, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Mrs. Shirley Deveere Reynolds, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 998 Inlet Loop, Coos Bay, OR 97420 Phone: 773-996-0242
Mitaliben Rajendrakumar Gor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Shelly Prather, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Diane H Todd, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4578

Mrs Regina M Ardiana, FNPC - Medicare Nurse Practitioner in Coos Bay, OR