Dr Yisi Daisy Ji, MD, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Salem, Oregon. Her current practice location is
250 Church St Se Ste 102, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 581-1999.
Dr Yisi Daisy Ji is licensed to practice in Oregon (license number MD216829) 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 1518452705.
Healthcare Provider's Profile
Full Name | Dr Yisi Daisy Ji |
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Gender | Female |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 250 Church St Se Ste 102, Salem, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518452705
- Provider Enumeration Date: 06/29/2018
- Last Update Date: 05/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729487111
- Enrollment ID: I20210607000135
Medical Identifiers
Medical identifiers for Dr Yisi Daisy Ji such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518452705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D12107 (Oregon) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | DN1859258 (Massachusetts) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | MD216829 (Oregon) | Primary |
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. Dr Yisi Daisy Ji 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 |
Dr Yisi Daisy Ji, MD, DMD 250 Church St Se Ste 102, Salem, OR 97301-3758 Ph: (503) 581-1999 | Dr Yisi Daisy Ji, MD, DMD 250 Church St Se Ste 102, Salem, OR 97301-3758 Ph: (503) 581-1999 |
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