Eric J Wattenburg, MD in Redmond, OR - Medicare Family Medicine

Eric J Wattenburg, MD is a medicare enrolled "Family Medicine" physician in Redmond, Oregon. His current practice location is 3818 Sw 21st St, Redmond, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 548-2899.

Eric J Wattenburg is licensed to practice in Oregon (license number MD29323) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194791640.

Contact Information

	Eric J Wattenburg, MD
	3818 Sw 21st St, Redmond, OR 97756
	(541) 548-2899
	(541) 504-3781

Map and Direction

Physician's Profile

Full Name	Eric J Wattenburg
Gender	Male
Speciality	Family Medicine
Location	3818 Sw 21st St, Redmond, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194791640
Provider Enumeration Date: 02/24/2006
Last Update Date: 11/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1658426663
Enrollment ID: I20241202003039

Medical Identifiers

Medical identifiers for Eric J Wattenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194791640	NPI	-	NPPES
00887743	Other	OR	MEDICARE RAILROAD
500608820	Medicaid	OR
OOA787640	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A78764 (California)	Secondary
207Q00000X	Family Medicine	MD29323 (Oregon)	Primary
207P00000X	Emergency Medicine	MD29323 (Oregon)	Secondary
207Q00000X	Family Medicine	6761572 (Idaho)	Secondary

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. Eric J Wattenburg allows following entities to bill medicare on his behalf.

Entity Name	Saint Alphonsus Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036

Entity Name	Saint Alphonsus Medical Center- Ontario Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024

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. Eric J Wattenburg 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
Eric J Wattenburg, MD Po Box 4858, Portland, OR 97208-4858 Ph: (541) 500-2500	Eric J Wattenburg, MD 3818 Sw 21st St, Redmond, OR 97756 Ph: (541) 548-2899

Reviews and Comments

Family Medicine Doctors in Redmond, OR

Dr. Alan C Hilles, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 865 Sw Veterans Way, Redmond, OR 97756 Phone: 541-322-3500
Nathan R Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534
Sheryl L Norris, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534
James K Detwiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534
Rose J Kenny, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1001 Nw Canal Blvd Ste 101, Redmond, OR 97756 Phone: 541-548-8088 Fax: 541-548-8018
Dr. Christopher Schuler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534

Eric J Wattenburg, MD - Medicare Family Medicine in Redmond, OR