Musah N Iddrisu, RN - Medicare Nurse Practitioner in Portland, OR

Musah N Iddrisu, RN is a medicare enrolled "Nurse Practitioner" in Portland, Oregon. His current practice location is 12710 Se Division St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 988-3601.

Musah N Iddrisu is licensed to practice in Oregon (license number 10017169) 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 1124627054.

Contact Information

Musah N Iddrisu, RN
12710 Se Division St,
Portland, OR 97236-3134
(503) 988-3601
Not Available

Map and Direction




Provider's Profile

Full NameMusah N Iddrisu
GenderMale
SpecialityNurse Practitioner
Location12710 Se Division St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124627054
  • Provider Enumeration Date: 10/21/2020
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092163782
  • Enrollment ID: I20231117002391

Medical Identifiers

Medical identifiers for Musah N Iddrisu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124627054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 10017169 (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. Musah N Iddrisu allows following entities to bill medicare on his behalf.
Entity NameMultnomah County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609914787
PECOS PAC ID: 6608771787
Enrollment ID: O20031203000025

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. Musah N Iddrisu 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
Musah N Iddrisu, RN
619 Nw 6th Ave Fl 5,
Portland, OR 97209-3964

Ph: (503) 988-7468
Musah N Iddrisu, RN
12710 Se Division St,
Portland, OR 97236-3134

Ph: (503) 988-3601

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3988    
Ms. Susan Irene Smith, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
Summer Morgan Massina, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209
Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210
Phone: 971-354-9242    
A'lissa Richards, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

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.