Mark Pequignot, DNP FNP in Roseburg, OR - Medicare Nurse Practitioner

Mark Pequignot, DNP FNP is a medicare enrolled "Nurse Practitioner - Family" in Roseburg, Oregon. His current practice location is 1700 Nw Garden Valley Blvd Ste 201, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 236-9246.

Mark Pequignot is licensed to practice in Oregon (license number 10010332) 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 1770272148.

Contact Information

	Mark Pequignot, DNP FNP
	1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR 97471-1636
	(541) 236-9246
	(541) 464-0789

Map and Direction

Provider's Profile

Full Name	Mark Pequignot
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1700 Nw Garden Valley Blvd Ste 201, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770272148
Provider Enumeration Date: 05/02/2023
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9335509462
Enrollment ID: I20230720001195

Medical Identifiers

Medical identifiers for Mark Pequignot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770272148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10010332 (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. Mark Pequignot allows following entities to bill medicare on his behalf.

Entity Name	Nisha Jackson Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Mark Pequignot 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
Mark Pequignot, DNP FNP 1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR 97471-1636 Ph: (541) 236-9246	Mark Pequignot, DNP FNP 1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR 97471-1636 Ph: (541) 236-9246

Reviews and Comments

Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Medicare Enrolled 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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100

Mark Pequignot, DNP FNP - Medicare Nurse Practitioner in Roseburg, OR