Dr Jennifer L Wrazen, MD, FAAP is a medicare enrolled "Pediatrics" physician in Waldport, Oregon. Her current practice location is
920 Sw Range Dr, Waldport, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 563-3197.
Dr Jennifer L Wrazen is licensed to practice in Oregon (license number MD21902) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366486532.
Physician's Profile
Full Name | Dr Jennifer L Wrazen |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 920 Sw Range Dr, Waldport, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366486532
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 11/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799942694
- Enrollment ID: I20120203000765
Medical Identifiers
Medical identifiers for Dr Jennifer L Wrazen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366486532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD21902 (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. Dr Jennifer L Wrazen allows following entities to bill medicare on her behalf.
Entity Name | Samaritan Pacific Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
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Entity Name | Samaritan Pacific Health Services Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
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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 Jennifer L Wrazen 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 Jennifer L Wrazen, MD, FAAP Po Box 2847, Corvallis, OR 97339-2847 Ph: () - | Dr Jennifer L Wrazen, MD, FAAP 920 Sw Range Dr, Waldport, OR 97394-9634 Ph: (541) 563-3197 |
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