Daniella Back, in Salem, OR - Medicare Nurse Practitioner

Daniella Back, is a medicare enrolled "Nurse Practitioner - Primary Care" in Salem, Oregon. Her current practice location is 5050 Skyline Village Loop S, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 391-1110.

Daniella Back is licensed to practice in Oregon (license number 10031096) 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 1073275202.

Contact Information

	Daniella Back,
	5050 Skyline Village Loop S, Salem, OR 97306-9490
	(503) 391-1110
	Not Available

Map and Direction

Provider's Profile

Full Name	Daniella Back
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	5050 Skyline Village Loop S, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073275202
Provider Enumeration Date: 10/05/2021
Last Update Date: 08/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8022557347
Enrollment ID: I20240829003078

Medical Identifiers

Medical identifiers for Daniella Back such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073275202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10031096 (Oregon)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	10031096 (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. Daniella Back allows following entities to bill medicare on her behalf.

Entity Name	Salem Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131

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. Daniella Back 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
Daniella Back, 5050 Skyline Village Loop S, Salem, OR 97306-9490 Ph: () -	Daniella Back, 5050 Skyline Village Loop S, Salem, OR 97306-9490 Ph: (503) 391-1110

Reviews and Comments

Nurse Practitioner Nurses in Salem, OR

Ashley Barth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554
Dr. Betty Ang, PH.D., PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1660 Oak St Se, Salem Va Outpatient Clinic, Salem, OR 97301 Phone: 503-316-8817 Fax: 503-316-9037
Mrs. Patricia Lynn Eich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3180 Center St Ne, Salem, OR 97301 Phone: 503-588-5355 Fax: 503-585-4995
Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823

Daniella Back, - Medicare Nurse Practitioner in Salem, OR