Polly M Sepulvado, MD in Roseburg, OR

Polly M Sepulvado, MD is a medicare enrolled "Internal Medicine" physician in Roseburg, Oregon. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 1974 and has 51 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Umpqua Community Health Center Inc and her current practice location is 150 Ne Kenneth Ford Dr, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (416) 729-5965.

Polly M Sepulvado is licensed to practice in Oregon (license number MD16468) 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 1366433781.

Contact Information

	Polly M Sepulvado, MD
	150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042
	(416) 729-5965
	(541) 492-2060

Map and Direction

Physician's Profile

Full Name	Polly M Sepulvado
Gender	Female
Speciality	Rheumatology
Experience	51 Years
Location	150 Ne Kenneth Ford Dr, Roseburg, 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:

Polly M Sepulvado attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1974

NPI Data:

NPI Number: 1366433781
Provider Enumeration Date: 11/03/2005
Last Update Date: 12/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6204978778
Enrollment ID: I20100121000390

Medical Identifiers

Medical identifiers for Polly M Sepulvado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366433781	NPI	-	NPPES
005129	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	MD16468 (Oregon)	Secondary
207R00000X	Internal Medicine	MD16468 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Umpqua Community Health Center Inc	0345233078	26

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. Polly M Sepulvado allows following entities to bill medicare on her behalf.

Entity Name	Umpqua Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396751772 PECOS PAC ID: 0345233078 Enrollment ID: O20040511000463

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. Polly M Sepulvado 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
Polly M Sepulvado, MD 573 Ne Stephens St, Roseburg, OR 97470-3150 Ph: (541) 677-2432	Polly M Sepulvado, MD 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 Ph: (416) 729-5965

Reviews and Comments

Internal Medicine Doctors in Roseburg, OR

Dr. Neil Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2410 Nw Edenbower Blvd Ste 176, Roseburg, OR 97471 Phone: 541-957-1133 Fax: 541-957-1799
Bhanu Prasad Paladugu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 561-677-1773 Fax: 541-677-1794
Kurt A Brickner, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471 Phone: 541-673-5579 Fax: 541-673-0576
Dr. Luul - Ghebrednghil, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1344
Dr. Alpana Chandra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Parkway, Suite 103, Roseburg, OR 97471 Phone: 541-672-9515 Fax: 541-464-3177
Siobhan A Oreilly, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 272 Medical Loop, Suite B, Roseburg, OR 97471 Phone: 541-464-5400 Fax: 541-464-5411
Harold F Anderson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 201, Roseburg, OR 97470 Phone: 541-440-6390 Fax: 541-440-6392

Polly M Sepulvado, MD - Medicare Rheumatology in Roseburg, OR