Dr Danette Rai Elliott-mullens, DO in Bend, OR

Dr Danette Rai Elliott-mullens, DO is a medicare enrolled "Internal Medicine" physician in Bend, Oregon. Her current practice location is 2650 Ne Courtney Dr, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 647-5200.

Dr Danette Rai Elliott-mullens is licensed to practice in Oregon (license number DO150943) 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 1417977042.

Contact Information

	Dr Danette Rai Elliott-mullens, DO
	2650 Ne Courtney Dr, Bend, OR 97701-7636
	(541) 647-5200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Danette Rai Elliott-mullens
Gender	Female
Speciality	Internal Medicine
Location	2650 Ne Courtney Dr, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417977042
Provider Enumeration Date: 07/19/2006
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1456365709
Enrollment ID: I20100818001075

Medical Identifiers

Medical identifiers for Dr Danette Rai Elliott-mullens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417977042	NPI	-	NPPES
143444105	Medicaid	TX
15402701	Other	TX	MEDICAID TPI BILLING NUMBER
2023050669	Other	MO	MO STATE BOARD OF REGISTRATION
8AJ420	Other	TX	BCBS INDIV PROV #
500621599	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	K9775 (Texas)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	K9775 (Texas)	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	DO150943 (Oregon)	Secondary
207R00000X	Internal Medicine	DO150943 (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 Danette Rai Elliott-mullens allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Danette Rai Elliott-mullens 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 Danette Rai Elliott-mullens, DO 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791	Dr Danette Rai Elliott-mullens, DO 2650 Ne Courtney Dr, Bend, OR 97701-7636 Ph: (541) 647-5200

Reviews and Comments

Internal Medicine Doctors in Bend, OR

Alanna Mozena, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813
Ashley Marie Twyman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813
Dr. Gilbert B. Lee, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1558 Sw Nancy Way, Bend, OR 97702 Phone: 541-312-8679
Ms. Christine Marie Pierson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2965 Ne Conners Ave, Ste 280, Bend, OR 97701 Phone: 541-323-4269
Dr. Michael N Harris, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811
Gordon Jeremy Juriansz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892
Dr. Ronald Daniel Rosen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 918 Ne 5th St, Bend, OR 97701 Phone: 541-388-3804 Fax: 541-388-3856

Dr Danette Rai Elliott-mullens, DO - Medicare Internal Medicine in Bend, OR