Janette Fay Mydland, MS, C10678 in Roseburg, OR

Janette Fay Mydland, MS, C10678 is a medicare enrolled "Counselor - Professional" provider in Roseburg, Oregon. Her current practice location is 621 W Madrone St, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 440-3532.

Janette Fay Mydland is licensed to practice in Oregon (license number C10678) 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 1902131352.

Contact Information

	Janette Fay Mydland, MS, C10678
	621 W Madrone St, Roseburg, OR 97470-3090
	(541) 440-3532
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Janette Fay Mydland
Gender	Female
Speciality	Counselor - Professional
Location	621 W Madrone St, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902131352
Provider Enumeration Date: 10/02/2009
Last Update Date: 02/26/2026

Medicare PECOS Information:

PECOS PAC ID: 1456703172
Enrollment ID: I20240118002245

Medical Identifiers

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

Identifier	Type	State	Issuer
1902131352	NPI	-	NPPES
5000863088	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C10678 (Oregon)	Primary
101YP2500X	Counselor - Professional	LPC-1293 (Wyoming)	Secondary
101YM0800X	Counselor - Mental Health	QMHPC-001646 (Oregon)	Secondary
101YM0800X	Counselor - Mental Health	LPC-2465 (Wyoming)	Secondary

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. Janette Fay Mydland allows following entities to bill medicare on her behalf.

Entity Name	Volunteers Of America Northern Rockies
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689249682 PECOS PAC ID: 1355733015 Enrollment ID: O20220110002012

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. Janette Fay Mydland 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
Janette Fay Mydland, MS, C10678 621 W Madrone St, Roseburg, OR 97470-3090 Ph: (541) 440-3532	Janette Fay Mydland, MS, C10678 621 W Madrone St, Roseburg, OR 97470-3090 Ph: (541) 440-3532

Reviews and Comments

Counselor in Roseburg, OR

Elisabeth Erin Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Se Jackson St, Roseburg, OR 97470 Phone: 541-464-6660
Mr. Dale Edward Williams, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554
Emily Tucker, LPC NCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691
Inger C Boyd, MA ED., BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554
Mae L Hoopes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642
Julie Connors, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532
Sarah Rebecca Jo Moon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470 Phone: 541-672-2691

Janette Fay Mydland, MS, C10678 - Medicare Counselor in Roseburg, OR