Dr Laurie Dutkiewicz, DO - Medicare Internal Medicine in Medford, OR

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Dr Laurie Dutkiewicz, DO is a medicare enrolled "Internal Medicine" physician in Medford, Oregon. Her current practice location is 965 Ellendale Dr, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 734-3430.

Dr Laurie Dutkiewicz is licensed to practice in Oregon (license number DO153852) 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 1952514143.

Contact Information

Dr Laurie Dutkiewicz, DO
965 Ellendale Dr,
Medford, OR 97504-8215
(541) 734-3430
(541) 734-3638

Map and Direction




Physician's Profile

Full NameDr Laurie Dutkiewicz
GenderFemale
SpecialityInternal Medicine
Location965 Ellendale Dr, Medford, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952514143
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 09/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769554906
  • Enrollment ID: I20111013000661

Medical Identifiers

Medical identifiers for Dr Laurie Dutkiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952514143NPI-NPPES
500637941MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DO153852 (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 Laurie Dutkiewicz allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093976243
PECOS PAC ID: 3476450560
Enrollment ID: O20031217000186

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 Laurie Dutkiewicz 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
Dr Laurie Dutkiewicz, DO
Po Box 3158,
Portland, OR 97208-3158

Ph: (541) 734-3430		Dr Laurie Dutkiewicz, DO
965 Ellendale Dr,
Medford, OR 97504-8215

Ph: (541) 734-3430

Reviews and Comments


Internal Medicine Doctors in Medford, OR

Helen Koenigsman, M.D.
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Practice Location: 1333 E Barnett Rd, Medford, OR 97504
Phone: 541-779-4711    
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Phone: 541-282-6606    Fax: 541-282-6601
Dr. Mark G Moran, M.D.
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Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504
Phone: 541-282-6606    Fax: 541-282-6601
Dr. June Symens, M.D.
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Practice Location: 555 Black Oak Dr Ste 400, Medford, OR 97504
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Donald L Bowser, NP
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Practice Location: 520 Medical Center Dr, Suite 100, Medford, OR 97504
Phone: 541-789-5704    Fax: 541-789-5989
Margaret Sara Fairhurst, D.O.
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Practice Location: 1698 E Mcandrews Rd Ste 400, Medford, OR 97504
Phone: 541-732-7960    
Dr. Sulagshan Mahendrarajah, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 520 Medical Center Drive, Suite 201, Medford, OR 97504
Phone: 541-789-5790    Fax: 541-789-5711

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.