Victoria Jeanne O'brien, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Fort Drum, New York. Her current practice location is
Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 785-4624.
Victoria Jeanne O'brien is licensed to practice in Virginia (license number 010220592) 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 1275023855.
Physician's Profile
| Full Name | Victoria Jeanne O'brien |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | Usa Meddac, Fort Drum, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275023855
- Provider Enumeration Date: 05/18/2018
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032655956
- Enrollment ID: I20240726001757
Medical Identifiers
Medical identifiers for Victoria Jeanne O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275023855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 010220592 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Victoria Jeanne O'brien allows following entities to bill medicare on her behalf.
| Entity Name | Canton-potsdam Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761 |
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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. Victoria Jeanne O'brien 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 |
|---|
Victoria Jeanne O'brien, DO
Usa Meddac, 11050 Mount Belvedere Blvd,
Fort Drum, NY 13602-5001
Ph: (315) 785-4624 | Victoria Jeanne O'brien, DO
Usa Meddac, 11050 Mount Belvedere Blvd,
Fort Drum, NY 13602-5001
Ph: (315) 785-4624 |
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