Dr Marisa Jane Wickerath, MD in Forest Grove, OR

Dr Marisa Jane Wickerath, MD is a medicare enrolled "Family Medicine" physician in Forest Grove, Oregon. She went to University Of Washington School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Tuality Medical Group Llc and her current practice location is 1825 Maple St, Forest Grove, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 357-2136.

Dr Marisa Jane Wickerath is licensed to practice in Oregon (license number MD221260) 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 1962088641.

Contact Information

	Dr Marisa Jane Wickerath, MD
	1825 Maple St, Forest Grove, OR 97116-1939
	(503) 357-2136
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Marisa Jane Wickerath
Gender	Female
Speciality	Family Practice
Experience	4 Years
Location	1825 Maple St, Forest Grove, 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 Marisa Jane Wickerath attended and graduated from University Of Washington School Of Medicine in 2021

NPI Data:

NPI Number: 1962088641
Provider Enumeration Date: 03/22/2021
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7810391703
Enrollment ID: I20240917003523

Medical Identifiers

Medical identifiers for Dr Marisa Jane Wickerath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962088641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD221260 (Oregon)	Primary
207P00000X	Emergency Medicine	MD61556041 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tuality Community Hospital	Hillsboro, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tuality Medical Group Llc	7416173414	255

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 Marisa Jane Wickerath allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

Entity Name	Tuality Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238

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 Marisa Jane Wickerath 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 Marisa Jane Wickerath, MD 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: () -	Dr Marisa Jane Wickerath, MD 1825 Maple St, Forest Grove, OR 97116-1939 Ph: (503) 357-2136

Reviews and Comments

Family Medicine Doctors in Forest Grove, OR

Dr. Timothy J. Gray Sr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116 Phone: 503-359-4773 Fax: 503-359-3809
Sheridan Thiringer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136
Marilyn J Booth, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735
Emaan Khan, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136
Khanh-uyen Tina Huu Nguyen, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-359-6105
Dr. Benjamin Robert Burton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 Mountain View Ln Ste 200, Forest Grove, OR 97116 Phone: 503-359-4773
Dr. Sean Lincoln Steward, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288

Dr Marisa Jane Wickerath, MD - Medicare Family Practice in Forest Grove, OR