Ms Aimee Kodiaq, FNP in Roseburg, OR - Medicare Nurse Practitioner

Ms Aimee Kodiaq, FNP is a medicare enrolled "Nurse Practitioner - Family" in Roseburg, Oregon. Her current practice location is 913 Nw Garden Valley Blvd, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 440-1000.

Ms Aimee Kodiaq is licensed to practice in Oregon (license number 20075D066NP) 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 1760517098.

Contact Information

	Ms Aimee Kodiaq, FNP
	913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523
	(541) 440-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Aimee Kodiaq
Gender	Female
Speciality	Nurse Practitioner - Family
Location	913 Nw Garden Valley Blvd, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760517098
Provider Enumeration Date: 02/23/2007
Last Update Date: 11/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6507939634
Enrollment ID: I20161130000857

Medical Identifiers

Medical identifiers for Ms Aimee Kodiaq such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760517098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4984 (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	20075D066NP (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. Ms Aimee Kodiaq allows following entities to bill medicare on her behalf.

Entity Name	Columbia Lutheran Charities
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20021217000028

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

Entity Name	Peacehealth Medical Group Cottage Grove
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333

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. Ms Aimee Kodiaq 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
Ms Aimee Kodiaq, FNP 1212 N 10th St Apt B, Coos Bay, OR 97420-1981 Ph: (503) 575-8941	Ms Aimee Kodiaq, FNP 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 Ph: (541) 440-1000

Reviews and Comments

Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356
Charlene Davis, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Carol Lynn Collins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sherri Twedt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100

Ms Aimee Kodiaq, FNP - Medicare Nurse Practitioner in Roseburg, OR