Marina Alyssa Wagner, DO - Medicare Family Medicine in Portland, OR

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Marina Alyssa Wagner, DO is a medicare enrolled "Family Medicine" physician in Portland, Oregon. Her current practice location is 2647 Ne 33rd Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 288-0083.

Marina Alyssa Wagner is licensed to practice in Oregon (license number DO218072) 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 1073190773.

Contact Information

Marina Alyssa Wagner, DO
2647 Ne 33rd Ave,
Portland, OR 97212-3647
(503) 288-0083
Not Available

Map and Direction




Physician's Profile

Full NameMarina Alyssa Wagner
GenderFemale
SpecialityFamily Medicine
Location2647 Ne 33rd Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073190773
  • Provider Enumeration Date: 03/27/2021
  • Last Update Date: 06/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7113328303
  • Enrollment ID: I20210625000205

Medical Identifiers

Medical identifiers for Marina Alyssa Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073190773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO218072 (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. Marina Alyssa Wagner allows following entities to bill medicare on her behalf.
Entity NamePeak Vista Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730166034
PECOS PAC ID: 4688583974
Enrollment ID: O20031110000337

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. Marina Alyssa Wagner 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
Marina Alyssa Wagner, DO
Po Box 1648,
Eugene, OR 97440-1648

Ph: (541) 242-4384		Marina Alyssa Wagner, DO
2647 Ne 33rd Ave,
Portland, OR 97212-3647

Ph: (503) 288-0083

Reviews and Comments


Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D.
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Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213
Phone: 503-233-6940    
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Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225
Phone: 503-214-5200    Fax: 503-906-6613
Katy L Bochat, DO
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Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213
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Jonathan L Vinson, MD
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Practice Location: 839 Ne Holladay St, Portland, OR 97232
Phone: 503-203-0700    
Dr. Timothy P Janzen, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216
Phone: 503-261-7200    Fax: 503-261-7249
Alison Mitchell, MD
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Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213
Phone: 503-215-6480    
Dr. Steven Colin Jackson, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204
Phone: 503-988-3674    Fax: 503-988-5779

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.