Mary Fowler Burchell, MD in Corvallis, OR

Mary Fowler Burchell, MD is a medicare enrolled "Pediatrics" physician in Corvallis, Oregon. Her current practice location is 3600 Nw Samaritan Dr, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 768-5111.

Mary Fowler Burchell is licensed to practice in Oregon (license number MD22494) 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 1396763413.

Contact Information

	Mary Fowler Burchell, MD
	3600 Nw Samaritan Dr, Corvallis, OR 97330-3737
	(541) 768-5111
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Fowler Burchell
Gender	Female
Speciality	Pediatrics
Location	3600 Nw Samaritan Dr, Corvallis, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396763413
Provider Enumeration Date: 07/17/2006
Last Update Date: 03/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8426209743
Enrollment ID: I20121115000557

Medical Identifiers

Medical identifiers for Mary Fowler Burchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396763413	NPI	-	NPPES
288052	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD22494 (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. Mary Fowler Burchell allows following entities to bill medicare on her behalf.

Entity Name	Mckenzie Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316909054 PECOS PAC ID: 1254307994 Enrollment ID: O20040903000766

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. Mary Fowler Burchell 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
Mary Fowler Burchell, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Mary Fowler Burchell, MD 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 768-5111

Reviews and Comments

Pediatrics Doctors in Corvallis, OR

Dr. Destiny Jennifer Gmelch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111
Chinh T. Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835
Elizabeth Ranae Davis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150
Wayne Joseph Merback, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111
Dr. Lon Mcquillan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Nw 9th St, Suite 320, Corvallis, OR 97330 Phone: 541-768-4900
Ms. Kathryn I Mcquillan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150
Jill A Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150

Mary Fowler Burchell, MD - Medicare Pediatrics in Corvallis, OR