Stacy Brueckner, - Medicare Family Practice in Hermiston, OR

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Stacy Brueckner, is a medicare enrolled "Family Medicine" physician in Hermiston, Oregon. She went to Western University Of Health Sciences College Of Dental Med and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Salem Health and her current practice location is 589 Nw 11th St, Hermiston, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 567-1717.

Stacy Brueckner is licensed to practice in Oregon (license number DO195341) 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 1396140968.

Contact Information

Stacy Brueckner,
589 Nw 11th St,
Hermiston, OR 97838-6600
(541) 567-1717
(541) 564-5170

Map and Direction




Physician's Profile

Full NameStacy Brueckner
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location589 Nw 11th St, Hermiston, 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:
  • Stacy Brueckner attended and graduated from Western University Of Health Sciences College Of Dental Med in 2016
  NPI Data:
  • NPI Number: 1396140968
  • Provider Enumeration Date: 10/25/2014
  • Last Update Date: 03/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628323888
  • Enrollment ID: I20191010002065

Medical Identifiers

Medical identifiers for Stacy Brueckner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396140968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO195341 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
First Call Home Health Agency, LlcSalem, ORHome health agency
Salem HospitalSalem, ORHospital
Legacy Silverton Medical CenterSilverton, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Salem Health8628986668393

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. Stacy Brueckner allows following entities to bill medicare on her behalf.
Entity NameYakima Valley Farm Workers Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427001940
PECOS PAC ID: 4385541986
Enrollment ID: O20040116001020
Entity NameSalem Health West Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245237486
PECOS PAC ID: 7810804630
Enrollment ID: O20040225000830
Entity NameSalem Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265431829
PECOS PAC ID: 8628986668
Enrollment ID: O20040309001131

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. Stacy Brueckner 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
Stacy Brueckner,
589 Nw 11th St,
Hermiston, OR 97838-6600

Ph: (541) 567-1717		Stacy Brueckner,
589 Nw 11th St,
Hermiston, OR 97838-6600

Ph: (541) 567-1717

Reviews and Comments


Family Medicine Doctors in Hermiston, OR

Dr. Stewart D Swena, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W Elm Ave Ste 110, Hermiston, OR 97838
Phone: 541-567-2995    Fax: 541-567-7720
Dr. David B Shanley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 Nw 11th St Ste M103, Hermiston, OR 97838
Phone: 541-667-3830    
Kan Yang,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 589 Nw 11th St, Hermiston, OR 97838
Phone: 541-567-1717    Fax: 541-564-5170
Dr. Guy Eugene Oltman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 600 Nw 11th St, Suite E-15, Hermiston, OR 97838
Phone: 541-567-6434    Fax: 541-567-6019
Dr. Milton James Johnson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W Elm Ave Ste 110, Hermiston, OR 97838
Phone: 541-567-2995    Fax: 541-567-7720
Dr. Deo Flaiz Fisher, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 600 Nw 11th St, Suite E-15, Hermiston, OR 97838
Phone: 541-567-6434    Fax: 541-567-6019

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.