Jennifer Anne Lietzke, MD in Beaverton, OR

Jennifer Anne Lietzke, MD is a medicare enrolled "Family Medicine" physician in Beaverton, Oregon. She went to University Of Chicago, Pritzker School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Virginia Garcia Memorial Health Center and her current practice location is 2935 Sw Cedar Hills Blvd, Beaverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 352-6000.

Jennifer Anne Lietzke is licensed to practice in Oregon (license number MD28993) 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 1699701631.

Contact Information

	Jennifer Anne Lietzke, MD
	2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342
	(503) 352-6000
	(503) 352-6080

Map and Direction

Physician's Profile

Full Name	Jennifer Anne Lietzke
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	2935 Sw Cedar Hills Blvd, Beaverton, 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:

Jennifer Anne Lietzke attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1999

NPI Data:

NPI Number: 1699701631
Provider Enumeration Date: 06/23/2006
Last Update Date: 02/06/2018

Medicare PECOS Information:

PECOS PAC ID: 4880671429
Enrollment ID: I20130628000758

Medical Identifiers

Medical identifiers for Jennifer Anne Lietzke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699701631	NPI	-	NPPES
500634215	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD28993 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital
Willamette Valley Medical Center	Mcminnville, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Virginia Garcia Memorial Health Center	7113823881	65

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. Jennifer Anne Lietzke allows following entities to bill medicare on her behalf.

Entity Name	Virginia Garcia Memorial Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992

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. Jennifer Anne Lietzke 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
Jennifer Anne Lietzke, MD Po Box 6149, Beaverton, OR 97007-0149 Ph: (503) 352-8657	Jennifer Anne Lietzke, MD 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 Ph: (503) 352-6000

Reviews and Comments

Family Medicine Doctors in Beaverton, OR

Philip W Pritchard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1881 Nw 185th Ave, Suite 300, Beaverton, OR 97006 Phone: 503-216-9300 Fax: 503-216-9339
David Albert Pierce, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006 Phone: 503-646-0161 Fax: 503-221-4451
Dr. Carolyn Lee Goebel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 Phone: 503-352-6000
Dr. Gerald Wendal Miller, M.D, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1960 Nw 167th Place, Suite 103, Beaverton, OR 97006 Phone: 503-466-1823 Fax: 503-466-1823
Dr. Priscilla Butler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565
Vicki Lynne Reid, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4863
Vanessa H Mckiel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 Phone: 503-352-6000

Jennifer Anne Lietzke, MD - Medicare Family Practice in Beaverton, OR