Dr Mary Susanne Placek, MD - Medicare Family Practice in Independence, OR

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Dr Mary Susanne Placek, MD is a medicare enrolled "Family Medicine" physician in Independence, Oregon. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Salem Health West Valley, Salem Health and her current practice location is 1430 Monmouth St, Independence, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 838-1133.

Dr Mary Susanne Placek is licensed to practice in Oregon (license number MD167924) 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 1265727515.

Contact Information

Dr Mary Susanne Placek, MD
1430 Monmouth St,
Independence, OR 97351-1127
(503) 838-1133
(503) 838-5138

Map and Direction




Physician's Profile

Full NameDr Mary Susanne Placek
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location1430 Monmouth St, Independence, Oregon
Accepts Medicare AssignmentsYes. 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 Mary Susanne Placek graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1265727515
  • Provider Enumeration Date: 06/15/2011
  • Last Update Date: 09/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4981859436
  • Enrollment ID: I20150303000014

Medical Identifiers

Medical identifiers for Dr Mary Susanne Placek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265727515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MR-1208 (Idaho)Secondary
207Q00000XFamily Medicine MD167924 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley HospitalDallas, ORHospital
Salem HospitalSalem, ORHospital
Dallas Retirement Village Health CenterDallas, ORNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Salem Health West Valley781080463030
Salem Health8628986668387

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 Mary Susanne Placek allows following entities to bill medicare on her behalf.
Entity NameSalem Health West Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245237486
PECOS PAC ID: 7810804630
Enrollment ID: O20040225000830
Entity NameSalem Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265431829
PECOS PAC ID: 8628986668
Enrollment ID: O20040309001131

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 Mary Susanne Placek 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 Mary Susanne Placek, MD
Po Box 309,
Independence, OR 97351-0309

Ph: (503) 838-1133		Dr Mary Susanne Placek, MD
1430 Monmouth St,
Independence, OR 97351-1127

Ph: (503) 838-1133

Reviews and Comments


Family Medicine Doctors in Independence, OR

Keith Allen White, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1430 Monmouth St, Independence, OR 97351
Phone: 503-838-1133    Fax: 503-838-5138
Terrell Glenn,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1430 Monmouth St, Independence, OR 97351
Phone: 503-838-1133    Fax: 503-838-5138

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.