Myra Deline, in Cottage Grove, OR - Medicare Nurse Practitioner

Myra Deline, is a medicare enrolled "Nurse Practitioner" in Cottage Grove, Oregon. Her current practice location is 1515 Village Dr Ste 100, Cottage Grove, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 767-5200.

Myra Deline is licensed to practice in Oregon (license number 201809683NP-PP) 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 1689149361.

Contact Information

	Myra Deline,
	1515 Village Dr Ste 100, Cottage Grove, OR 97424-9700
	(541) 767-5200
	(541) 767-5288

Map and Direction

Provider's Profile

Full Name	Myra Deline
Gender	Female
Speciality	Nurse Practitioner
Location	1515 Village Dr Ste 100, Cottage Grove, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689149361
Provider Enumeration Date: 10/09/2018
Last Update Date: 10/18/2019

Medicare PECOS Information:

PECOS PAC ID: 5890030993
Enrollment ID: I20181218002164

Medical Identifiers

Medical identifiers for Myra Deline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689149361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201808281RN (Oregon)	Secondary
363L00000X	Nurse Practitioner	201809683NP-PP (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. Myra Deline allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023

Entity Name	Peacehealth Medical Group Cottage Grove
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760704878 PECOS PAC ID: 6507997475 Enrollment ID: O20110104001109

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. Myra Deline 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
Myra Deline, 3614 Emerald St, Eugene, OR 97405-4329 Ph: () -	Myra Deline, 1515 Village Dr Ste 100, Cottage Grove, OR 97424-9700 Ph: (541) 767-5200

Reviews and Comments

Nurse Practitioner Nurses in Cottage Grove, OR

Pearl Ann Jobe, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310
Angela Gates, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 Fairview Loop, Cottage Grove, OR 97424 Phone: 541-505-4913
Nancy C. Bidlack, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 N 9th St, Cottage Grove, OR 97424 Phone: 541-942-2850 Fax: 541-942-1574
Jean Langkow, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 Fax: 541-942-6750
Mary Ruth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-5550
Leandra Gambee, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 Fax: 541-942-0353
Suzanne M. Snellen, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610

Myra Deline, - Medicare Nurse Practitioner in Cottage Grove, OR