Jerry L Foster, FNP is a medicare enrolled "Nurse Practitioner - Family" in Warm Spring, Oregon. His current practice location is
1270 Kotnum Road, Warm Spring, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 553-1196.
Jerry L Foster is licensed to practice in New Mexico (license number R41699) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053574772.
Provider's Profile
| Full Name | Jerry L Foster |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1270 Kotnum Road, Warm Spring, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053574772
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 06/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 0042388969
- Enrollment ID: I20081006000298
Medical Identifiers
Medical identifiers for Jerry L Foster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053574772 | NPI | - | NPPES |
| 273855 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R41699 (New Mexico) | 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. Jerry L Foster allows following entities to bill medicare on his behalf.
| Entity Name | Us Health Dept Of Health & Human Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972694602
PECOS PAC ID: 9638081623
Enrollment ID: O20031106000399 |
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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. Jerry L Foster 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 |
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Jerry L Foster, FNP
Po Box 1209,
Warm Spring, OR 97761-1209
Ph: (541) 553-1196 | Jerry L Foster, FNP
1270 Kotnum Road,
Warm Spring, OR 97761-1209
Ph: (541) 553-1196 |
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