Marina M Ecklund, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Ashland, California. Her current practice location is
16110 E 14th St, Ashland, California. You can reach out to her office (for appointments etc.) via phone at
(510) 398-7500.
Marina M Ecklund is licensed to practice in California (license number 95037109) 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 1295376663.
Provider's Profile
| Full Name | Marina M Ecklund |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 16110 E 14th St, Ashland, California |
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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: 1295376663
- Provider Enumeration Date: 10/07/2019
- Last Update Date: 10/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840681839
- Enrollment ID: I20241220002734
Medical Identifiers
Medical identifiers for Marina M Ecklund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295376663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 95037109 (California) | 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. Marina M Ecklund allows following entities to bill medicare on her behalf.
| Entity Name | Revive Pathway |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962117440
PECOS PAC ID: 4284081639
Enrollment ID: O20240924001884 |
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| Entity Name | Puyallup Tribal Opioid Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992582613
PECOS PAC ID: 4486096377
Enrollment ID: O20241029002291 |
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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. Marina M Ecklund 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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Marina M Ecklund, APRN
1635a 1st Ave,
Walnut Creek, CA 94597-2534
Ph: (802) 279-3358 | Marina M Ecklund, APRN
16110 E 14th St,
Ashland, CA 94578-3002
Ph: (510) 398-7500 |
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