Andrea Shea Witham, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Roseburg, OR

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Andrea Shea Witham, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roseburg, Oregon. Her current practice location is 753 Se Main St Ste 205, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 455-7656.

Andrea Shea Witham is licensed to practice in Oregon (license number 202201834NP) 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 1275982324.

Contact Information

Andrea Shea Witham, FNP-C, PMHNP-BC
753 Se Main St Ste 205,
Roseburg, OR 97470-3985
(503) 455-7656
(503) 457-0645

Map and Direction




Provider's Profile

Full NameAndrea Shea Witham
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location753 Se Main St Ste 205, Roseburg, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275982324
  • Provider Enumeration Date: 06/09/2016
  • Last Update Date: 06/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799067674
  • Enrollment ID: I20171228000352

Medical Identifiers

Medical identifiers for Andrea Shea Witham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275982324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 202201834NP-PP (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 202201834NP (Oregon)Primary
363LF0000XNurse Practitioner - Family AP9762 (Arizona)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. Andrea Shea Witham allows following entities to bill medicare on her behalf.
Entity NameSecond Wind Mental Health Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679957708
PECOS PAC ID: 2769792183
Enrollment ID: O20151113001380
Entity NameNisha Jackson Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124499124
PECOS PAC ID: 6305147745
Enrollment ID: O20151209000878

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. Andrea Shea Witham 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
Andrea Shea Witham, FNP-C, PMHNP-BC
753 Se Main St Ste 205,
Roseburg, OR 97470-3985

Ph: (503) 455-7656		Andrea Shea Witham, FNP-C, PMHNP-BC
753 Se Main St Ste 205,
Roseburg, OR 97470-3985

Ph: (503) 455-7656

Reviews and Comments


Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471
Phone: 541-229-2663    
Ms. Jo Ann G. Berenbach, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470
Phone: 541-440-1000    Fax: 541-440-1356
Charlene Davis, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471
Phone: 541-677-7200    Fax: 541-229-3309
Carol Lynn Collins, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471
Phone: 541-440-1000    
Sherri Twedt, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471
Phone: 541-440-1000    
Sunny L May, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471
Phone: 541-677-4427    Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 525 W Umpqua St, Roseburg, OR 97471
Phone: 541-464-7100    

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).

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