Mrs Stephanie Roseman Tullar, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mount Angel, Oregon. Her current practice location is
195 N Main St, Mount Angel, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 662-9339.
Mrs Stephanie Roseman Tullar is licensed to practice in Oregon (license number 10009557) 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 1962100669.
Provider's Profile
| Full Name | Mrs Stephanie Roseman Tullar |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 195 N Main St, Mount Angel, Oregon |
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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: 1962100669
- Provider Enumeration Date: 02/21/2023
- Last Update Date: 12/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244695070
- Enrollment ID: I20230501002803
Medical Identifiers
Medical identifiers for Mrs Stephanie Roseman Tullar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962100669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F350501-01 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 203286 (Alaska) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10009557 (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. Mrs Stephanie Roseman Tullar allows following entities to bill medicare on her behalf.
| Entity Name | Altair Integrative Wellness |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932744836
PECOS PAC ID: 9133553464
Enrollment ID: O20191219001806 |
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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. Mrs Stephanie Roseman Tullar 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 |
|---|
Mrs Stephanie Roseman Tullar, FNP-BC
195 N Main St,
Mount Angel, OR 97362-6900
Ph: (503) 662-9339 | Mrs Stephanie Roseman Tullar, FNP-BC
195 N Main St,
Mount Angel, OR 97362-6900
Ph: (503) 662-9339 |
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