Elizabeth Wachtel O'brien, CNM, NP is a medicare enrolled "Advanced Practice Midwife" in Eureka, California. Her current practice location is
3200 Walford Ave, Suite B, Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(707) 445-3443.
Elizabeth Wachtel O'brien is licensed to practice in California (license number 1113) 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 1023133790.
Provider's Profile
Full Name | Elizabeth Wachtel O'brien |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 3200 Walford Ave, Eureka, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023133790
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 04/16/2013
Medicare PECOS Information:
- PECOS PAC ID: 5597094565
- Enrollment ID: I20190917002015
Medical Identifiers
Medical identifiers for Elizabeth Wachtel O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023133790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 7579 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 1113 (California) | 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. Elizabeth Wachtel O'brien allows following entities to bill medicare on her behalf.
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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Entity Name | Redwood Women's Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871768200 PECOS PAC ID: 0547306433 Enrollment ID: O20091007000100 |
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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. Elizabeth Wachtel 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 |
Elizabeth Wachtel O'brien, CNM, NP 3200 Walford Ave, Suite B, Eureka, CA 95503-4828 Ph: (707) 445-3443 | Elizabeth Wachtel O'brien, CNM, NP 3200 Walford Ave, Suite B, Eureka, CA 95503-4828 Ph: (707) 445-3443 |
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