Dr Jason Daniel Wister, MD in Vancouver, WA

Dr Jason Daniel Wister, MD is a medicare enrolled "Pediatrics" physician in Vancouver, Washington. His current practice location is 400 Northeast Mother Joseph Place, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 256-2000.

Dr Jason Daniel Wister is licensed to practice in California (license number 390200000X) 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 1598977209.

Contact Information

	Dr Jason Daniel Wister, MD
	400 Northeast Mother Joseph Place, Vancouver, WA 98664
	(360) 256-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jason Daniel Wister
Gender	Male
Speciality	Pediatrics
Location	400 Northeast Mother Joseph Place, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598977209
Provider Enumeration Date: 05/04/2007
Last Update Date: 09/06/2012

Medicare PECOS Information:

PECOS PAC ID: 0941450696
Enrollment ID: I20170816000811

Medical Identifiers

Medical identifiers for Dr Jason Daniel Wister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598977209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	390200000X (California)	Primary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	MD60299588 (Washington)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	MD157697 (Oregon)	Secondary

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 Jason Daniel Wister allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093

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 Jason Daniel Wister 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
Dr Jason Daniel Wister, MD 4405 Mccallister Place, Washougal, WA 98671 Ph: (909) 838-7452	Dr Jason Daniel Wister, MD 400 Northeast Mother Joseph Place, Vancouver, WA 98664 Ph: (360) 256-2000

Reviews and Comments

Pediatrics Doctors in Vancouver, WA

Aidan H Derenne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146
Charles E Fuchs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146
Laurie Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-397-1500 Fax: 360-397-1328
Jing Jing Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1758
Veronica S Erhart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661 Phone: 360-891-7300
Katherine Elizabeth Holland, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Suite 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146
Jennifer L Soden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146

Dr Jason Daniel Wister, MD - Medicare Pediatrics in Vancouver, WA