Polly M Sepulvado, MD - Medicare Rheumatology in Roseburg, OR

Polly M Sepulvado, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Roseburg, Oregon. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 1974 and has 50 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Umpqua Community Health Center Inc and her current practice location is 573 Ne Stephens St, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 677-2432.

Polly M Sepulvado is licensed to practice in Oregon (license number MD16468) 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 1366433781.

Contact Information

Polly M Sepulvado, MD
573 Ne Stephens St,
Roseburg, OR 97470-3150
(541) 677-2432
(541) 957-1131

Map and Direction




Physician's Profile

Full NamePolly M Sepulvado
GenderFemale
SpecialityRheumatology
Experience50 Years
Location573 Ne Stephens St, Roseburg, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Polly M Sepulvado attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1974
  NPI Data:
  • NPI Number: 1366433781
  • Provider Enumeration Date: 11/03/2005
  • Last Update Date: 10/31/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6204978778
  • Enrollment ID: I20100121000390

Medical Identifiers

Medical identifiers for Polly M Sepulvado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366433781NPI-NPPES
005129MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology MD16468 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterRoseburg, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umpqua Community Health Center Inc034523307820

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. Polly M Sepulvado allows following entities to bill medicare on her behalf.
Entity NameUmpqua Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396751772
PECOS PAC ID: 0345233078
Enrollment ID: O20040511000463

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. Polly M Sepulvado 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
Polly M Sepulvado, MD
573 Ne Stephens St,
Roseburg, OR 97470-3150

Ph: (541) 677-2432
Polly M Sepulvado, MD
573 Ne Stephens St,
Roseburg, OR 97470-3150

Ph: (541) 677-2432

Reviews and Comments


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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.