Tatiana Zupekan Brinckerhoff, MD in Corvallis, OR

Tatiana Zupekan Brinckerhoff, MD is a medicare enrolled "Pediatrics" physician in Corvallis, Oregon. Her current practice location is 777 Nw 9th St Ste 320, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 768-4900.

Tatiana Zupekan Brinckerhoff is licensed to practice in Oregon (license number MD211003) 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 1578950291.

Contact Information

	Tatiana Zupekan Brinckerhoff, MD
	777 Nw 9th St Ste 320, Corvallis, OR 97330-6169
	(541) 768-4900
	Not Available

Map and Direction

Physician's Profile

Full Name	Tatiana Zupekan Brinckerhoff
Gender	Female
Speciality	Pediatrics
Location	777 Nw 9th St Ste 320, Corvallis, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578950291
Provider Enumeration Date: 04/21/2015
Last Update Date: 11/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7810267218
Enrollment ID: I20221110001821

Medical Identifiers

Medical identifiers for Tatiana Zupekan Brinckerhoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578950291	NPI	-	NPPES
100080735	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	69696 (Wisconsin)	Secondary
208000000X	Pediatrics	MD211003 (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. Tatiana Zupekan Brinckerhoff allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Hospital Corvallis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163

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. Tatiana Zupekan Brinckerhoff 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
Tatiana Zupekan Brinckerhoff, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Tatiana Zupekan Brinckerhoff, MD 777 Nw 9th St Ste 320, Corvallis, OR 97330-6169 Ph: (541) 768-4900

Reviews and Comments

Pediatrics Doctors in Corvallis, OR

Dr. Destiny Jennifer Gmelch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111
Chinh T. Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835
Elizabeth Ranae Davis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150
Wayne Joseph Merback, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111
Dr. Lon Mcquillan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Nw 9th St, Suite 320, Corvallis, OR 97330 Phone: 541-768-4900
Ms. Kathryn I Mcquillan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150
Jill A Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150

Tatiana Zupekan Brinckerhoff, MD - Medicare Pediatrics in Corvallis, OR