Triskelion is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Salem, Oregon. Their current practice location is
2264 Mcgilchrist St Se Ste 100, Salem, Oregon. You can reach out to their office (for appointments etc.) via phone at
(503) 581-7700.
Triskelion is licensed to practice in Oregon (license number MD21972) and it also participates in the medicare program. Triskelion
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 1114337409.
Healthcare Provider's Profile
| Full Name | Triskelion |
|---|
| Type | Facility |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 2264 Mcgilchrist St Se Ste 100, Salem, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114337409
- Provider Enumeration Date: 05/07/2014
- Last Update Date: 05/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 6204220098
- Enrollment ID: O20220311001954
Medical Identifiers
Medical identifiers for Triskelion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114337409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | MD21972 (Oregon) | Secondary |
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | MD21972 (Oregon) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD21972 (Oregon) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DO161429 (Oregon) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Triskelion acts as a billing entity for following providers:
| Provider Name | Rodney S Babe |
|---|
| Provider Type | Practitioner - Psychiatry |
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| Provider Identifiers | NPI Number: 1275559296
PECOS PAC ID: 4082703533
Enrollment ID: I20071205000529 |
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| Provider Name | Wendy Wan |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1427486505
PECOS PAC ID: 1850516824
Enrollment ID: I20140707001809 |
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| Provider Name | Rachel Scott |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1952960387
PECOS PAC ID: 8426384785
Enrollment ID: I20230130001163 |
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| Provider Name | Lisa Dawn Theobald |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1366136228
PECOS PAC ID: 6002277092
Enrollment ID: I20230808000769 |
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| Provider Name | Amanda Mae Equall Lacombe |
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| Provider Type | Practitioner - Marriage And Family Therapist |
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| Provider Identifiers | NPI Number: 1144415191
PECOS PAC ID: 2264877794
Enrollment ID: I20240223003149 |
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| Provider Name | Jessica Huntley |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1750733093
PECOS PAC ID: 6406274307
Enrollment ID: I20250205002646 |
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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. Triskelion 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 |
|---|
Triskelion
2264 Mcgilchrist St Se Ste 100,
Salem, OR 97302-1008
Ph: (503) 581-7700 | Triskelion
2264 Mcgilchrist St Se Ste 100,
Salem, OR 97302-1008
Ph: (503) 581-7700 |
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