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

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



Provider's Profile

Full NameMr Kellen Taverniti Martyn
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location10180 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1255637237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 200541945RN (Oregon)Secondary
367500000XNurse 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 NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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 AddressPractice 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

News Archive

Healthcare providers can help parents understand sleep patterns of newborn infant

Most parents are not surprised by the irregularity of a newborn infant's sleep patterns, but by six months or so many parents wonder if something is wrong with their baby or their sleeping arrangements if the baby is not sleeping through the night. Healthcare providers, specifically nurse practitioners, can help parents understand what "normal" sleep patterns are for their child, according to researchers.

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PolyTherics Ltd, a biopharmaceutical company specialised in the targeted application of polymers to biopharmaceuticals, and Alligator Bioscience AB ("Alligator"), a biotechnology company applying proprietary technology to the improvement of proteins, today announced the establishment of a new alliance.

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Read more News

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Nurse Anesthetist, Certified Registered Nurses in Clackamas, OR

Jessica Dawn Sexton-dorsett,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
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    
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: Medicare Enrolled
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. Craig G Kleiv, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-2617    

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