Dr Charisse Nisce Siapno, MD is a medicare enrolled "Internal Medicine" physician in Phoenix, Oregon. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Health And Services Oregon and her current practice location is
205 Fern Valley Rd Ste A, Phoenix, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 535-1274.
Dr Charisse Nisce Siapno is licensed to practice in Oregon (license number MD171548) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720219520.
Physician's Profile
| Full Name | Dr Charisse Nisce Siapno |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 17 Years |
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| Location | 205 Fern Valley Rd Ste A, Phoenix, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charisse Nisce Siapno graduated from medical school in 2007
NPI Data:
- NPI Number: 1720219520
- Provider Enumeration Date: 07/28/2009
- Last Update Date: 11/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 2668622846
- Enrollment ID: I20150910001274
Medical Identifiers
Medical identifiers for Dr Charisse Nisce Siapno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720219520 | NPI | - | NPPES |
| 500689112 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 099202 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | MD171548 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providence Health And Services Oregon | 5294623245 | 152 |
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. Dr Charisse Nisce Siapno allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568547503
PECOS PAC ID: 5294623245
Enrollment ID: O20040310000315 |
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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. Dr Charisse Nisce Siapno 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 |
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Dr Charisse Nisce Siapno, MD
Po Box 3158,
Portland, OR 97208-3158
Ph: (541) 535-1274 | Dr Charisse Nisce Siapno, MD
205 Fern Valley Rd Ste A,
Phoenix, OR 97535-9100
Ph: (541) 535-1274 |
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