Dr Audra Luz Kathleena Wisham, MD - Medicare Emergency Medicine in Newport, OR

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Dr Audra Luz Kathleena Wisham, MD is a medicare enrolled "Emergency Medicine" physician in Newport, Oregon. Her current practice location is 930 Sw Abbey St, Newport, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 265-2244.

Dr Audra Luz Kathleena Wisham is licensed to practice in Oregon (license number MD182496) 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 1477961308.

Contact Information

Dr Audra Luz Kathleena Wisham, MD
930 Sw Abbey St,
Newport, OR 97365-4820
(541) 265-2244
(541) 574-1838

Map and Direction




Physician's Profile

Full NameDr Audra Luz Kathleena Wisham
GenderFemale
SpecialityEmergency Medicine
Location930 Sw Abbey St, Newport, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477961308
  • Provider Enumeration Date: 07/23/2014
  • Last Update Date: 11/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3375816150
  • Enrollment ID: I20170829004166

Medical Identifiers

Medical identifiers for Dr Audra Luz Kathleena Wisham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477961308NPI-NPPES
500729523MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD182496 (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. Dr Audra Luz Kathleena Wisham allows following entities to bill medicare on her behalf.
Entity NameSamaritan North Lincoln Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20040120000329
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304
Entity NameNorthwest Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235172370
PECOS PAC ID: 3476462334
Enrollment ID: O20050506000187
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1801847066
PECOS PAC ID: 2466353529
Enrollment ID: O20061104000163

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 Audra Luz Kathleena Wisham 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 AddressPractice Location Address
Dr Audra Luz Kathleena Wisham, MD
Po Box 2847,
Corvallis, OR 97339-2847

Ph: () -		Dr Audra Luz Kathleena Wisham, MD
930 Sw Abbey St,
Newport, OR 97365-4820

Ph: (541) 265-2244

Reviews and Comments


Emergency Medicine Doctors in Newport, OR

Bradley Brian Hubbard, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-574-1818    Fax: 541-574-1831
Dr. William Randolph Fraser, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-265-2244    Fax: 541-574-1831
Dr. H. Joshua Carson, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-265-2244    Fax: 541-574-1831
Michael P Cruise, PA-C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Sw Coast Hwy, Newport, OR 97365
Phone: 541-574-4860    
Reed S Epstein, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-265-2244    Fax: 541-574-1831
Dr. Brandon Michael Dahl, DO
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 930 Sw Abbey St, Newport, OR 97365
Phone: 541-265-2244    
Dr. Ashley W Forsyth, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1211 Sw Bay St, Unit B, Newport, OR 97365
Phone: 541-270-7146    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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