Mr Edwar Jose Fernando Estupinian, in Albany, OR

Mr Edwar Jose Fernando Estupinian, is a medicare enrolled "Counselor - Professional" provider in Albany, Oregon. His current practice location is 2225 Pacific Blvd Se, Albany, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 286-5002.

Mr Edwar Jose Fernando Estupinian is licensed to practice in Oregon (license number C6204) 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 1295236792.

Contact Information

	Mr Edwar Jose Fernando Estupinian,
	2225 Pacific Blvd Se, Albany, OR 97321-7907
	(541) 286-5002
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Edwar Jose Fernando Estupinian
Gender	Male
Speciality	Counselor - Professional
Location	2225 Pacific Blvd Se, Albany, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295236792
Provider Enumeration Date: 02/21/2018
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 1052756673
Enrollment ID: I20240305001352

Medical Identifiers

Medical identifiers for Mr Edwar Jose Fernando Estupinian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295236792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	C6204 (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 Edwar Jose Fernando Estupinian allows following entities to bill medicare on his behalf.

Entity Name	Santiam Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912178823 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239

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 Edwar Jose Fernando Estupinian 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 Edwar Jose Fernando Estupinian, 2225 Pacific Blvd Se Ste 101, Albany, OR 97321-7903 Ph: (541) 286-5002	Mr Edwar Jose Fernando Estupinian, 2225 Pacific Blvd Se, Albany, OR 97321-7907 Ph: (541) 286-5002

Reviews and Comments

Counselor in Albany, OR

Barrylee Coyne, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 2nd Ave Sw Ste 102, Albany, OR 97321 Phone: 541-286-3209 Fax: 541-704-0040
Amanda Joseph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1856 Grand Prairie Rd Se, Albany, OR 97322 Phone: 541-393-0777
Mandy Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 College Park Dr Sw Unit 58, Albany, OR 97322 Phone: 541-619-8088
Cary D Moller, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 3rd Ave Sw, Albany, OR 97321 Phone: 541-924-6916 Fax: 541-926-6271
Victoria Royal, QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 3rd Ave Se, Albany, OR 97321 Phone: 541-791-7193 Fax: 833-770-4969
Bobbi Hague, CADC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Water Ave Nw, Albany, OR 97321 Phone: 541-371-2080 Fax: 541-928-6713
Rebecca Wigton, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Hickory St Nw, Albany, OR 97321 Phone: 541-760-2197

Mr Edwar Jose Fernando Estupinian, - Medicare Counselor in Albany, OR