<unavail> in Roseburg, OR - Medicare Podiatrist Provider

is a medicare enrolled "Podiatrist" provider in Roseburg, Oregon. Their current practice location is 2564 Nw Edenbower Blvd, Ste 142, Roseburg, Oregon. You can reach out to their office (for appointments etc.) via phone at (541) 673-0742.

is licensed to practice in Oregon (license number DP00318) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639614647.

Contact Information


	2564 Nw Edenbower Blvd, Ste 142, Roseburg, OR 97471-8854
	(541) 673-0742
	(541) 673-7553

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Podiatrist
Location	2564 Nw Edenbower Blvd, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639614647
Provider Enumeration Date: 12/29/2016
Last Update Date: 12/29/2016

Medicare PECOS Information:

PECOS PAC ID: 2365725587
Enrollment ID: O20170214002629

Medical Identifiers

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

Identifier	Type	State	Issuer
1639614647	NPI	-	NPPES
PENDING	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	DP00318 (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. acts as a billing entity for following providers:

Provider Name	Gordon J Wilks
Provider Type	Practitioner - Podiatry
Provider Identifiers	NPI Number: 1316006539 PECOS PAC ID: 5395828321 Enrollment ID: I20080213000514

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. 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
2564 Nw Edenbower Blvd, Ste 142, Roseburg, OR 97471-8854 Ph: (541) 673-0742	2564 Nw Edenbower Blvd, Ste 142, Roseburg, OR 97471-8854 Ph: (541) 673-0742

Reviews and Comments

Podiatrist in Roseburg, OR

Micah D Tovey, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663 Fax: 541-229-0213
G Jason Wilks, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave Ste 201, Roseburg, OR 97471 Phone: 541-673-0742 Fax: 541-673-7553
Dr. Brandon Wallace Bishop, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471 Phone: 541-229-2663 Fax: 541-229-0213
Dr. Cordell Becker Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave Ste 542, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615
Logan Gull, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1813 W Harvard Ave Ste 542, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615
Kash K. Siepert, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615

- Medicare Podiatrist in Roseburg, OR