Dr Charisse Nisce Siapno, MD in Phoenix, OR - Medicare Internal Medicine

Dr Charisse Nisce Siapno, MD is a medicare enrolled "Internal Medicine" physician in Phoenix, Oregon. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 205 Fern Valley Rd Ste A, Phoenix, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 535-1274.

Dr Charisse Nisce Siapno is licensed to practice in Oregon (license number MD171548) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720219520.

Contact Information

	Dr Charisse Nisce Siapno, MD
	205 Fern Valley Rd Ste A, Phoenix, OR 97535-9100
	(541) 535-1274
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charisse Nisce Siapno
Gender	Female
Speciality	Internal Medicine
Experience	19 Years
Location	205 Fern Valley Rd Ste A, Phoenix, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Charisse Nisce Siapno graduated from medical school in 2007

NPI Data:

NPI Number: 1720219520
Provider Enumeration Date: 07/28/2009
Last Update Date: 11/05/2015

Medicare PECOS Information:

PECOS PAC ID: 2668622846
Enrollment ID: I20150910001274

Medical Identifiers

Medical identifiers for Dr Charisse Nisce Siapno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720219520	NPI	-	NPPES
500689112	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	099202 (Ohio)	Secondary
207R00000X	Internal Medicine	MD171548 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Medford Home Care	Medford, OR	Home health agency
Accentcare Home Health Of Rogue Valley, Llc	Medford, OR	Home health agency
Riverside Home Health Care, Inc	Grants pass, OR	Home health agency
Providence Medford Hospice	Medford, OR	Hospice
Providence Medford Medical Center	Medford, OR	Hospital
Asante Rogue Regional Medical Center	Medford, OR	Hospital
Asante Three Rivers Medical Center	Grants pass, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	5294623245	165

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 Charisse Nisce Siapno allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315

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 Charisse Nisce Siapno 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 Charisse Nisce Siapno, MD Po Box 3158, Portland, OR 97208-3158 Ph: (541) 535-1274	Dr Charisse Nisce Siapno, MD 205 Fern Valley Rd Ste A, Phoenix, OR 97535-9100 Ph: (541) 535-1274

Dr Charisse Nisce Siapno, MD - Medicare Internal Medicine in Phoenix, OR