Carly Mauch, PA-C - Medicare Physician Assistant in Roseburg, OR

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Carly Mauch, PA-C is a medicare enrolled "Physician Assistant" in Roseburg, Oregon. Her current practice location is 1813 W Harvard Ave, Suite #310, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 672-7546.

Carly Mauch is licensed to practice in Oregon (license number PA01409) 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 1679758700.

Contact Information

Carly Mauch, PA-C
1813 W Harvard Ave, Suite #310,
Roseburg, OR 97471-2752
(541) 672-7546
Not Available

Map and Direction




Provider's Profile

Full NameCarly Mauch
GenderFemale
SpecialityPhysician Assistant
Location1813 W Harvard Ave, Roseburg, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679758700
  • Provider Enumeration Date: 01/08/2008
  • Last Update Date: 11/29/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5698836054
  • Enrollment ID: I20081204000401

Medical Identifiers

Medical identifiers for Carly Mauch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679758700NPI-NPPES
R144364OtherORPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA01409 (Oregon)Primary
390200000XStudent In An Organized Health Care Education/training Program (NU)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. Carly Mauch allows following entities to bill medicare on her behalf.
Entity NameJames M Yun MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255667747
PECOS PAC ID: 0244371672
Enrollment ID: O20100107000633

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. Carly Mauch 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
Carly Mauch, PA-C
2423 Nw Troost St,
Roseburg, OR 97471-1706

Ph: (541) 677-3400		Carly Mauch, PA-C
1813 W Harvard Ave, Suite #310,
Roseburg, OR 97471-2752

Ph: (541) 672-7546

Reviews and Comments


Physician Assistant Nurses in Roseburg, OR

Bailey Wynn Gibbs, PA-C
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Practice Location: 2282 Nw Troost St Ste 103, Roseburg, OR 97471
Phone: 541-672-4798    
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Practice Location: 2570 Nw Edenbower Blvd, Suite 100, Roseburg, OR 97471
Phone: 541-677-7200    Fax: 541-229-3362
Amanda Garner, PA
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Practice Location: 2282 Nw Troost St Ste 103, Roseburg, OR 97471
Phone: 541-672-4798    
Emmalee Vittetoe,
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Medicare: May Accept Medicare Assignments
Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471
Phone: 541-673-0611    
Jennifer Ann Brough Wilson, PA
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Practice Location: 2440 Nw Edenbower Blvd, Roseburg, OR 97471
Phone: 541-957-1141    Fax: 541-957-1466
Marissa Danyelle Noot, PA
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Medicare: May Accept Medicare Assignments
Practice Location: 2282 Nw Troost St Ste 103, Roseburg, OR 97471
Phone: 541-672-4798    
Scott O Goebel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471
Phone: 541-677-7200    Fax: 541-229-3309

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.