Rebecca Elizabeth Brisco, PA-C is a medicare enrolled "Physician Assistant" in Coquille, Oregon. Her current practice location is
940 E 5th St, Coquille, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 396-3111.
Rebecca Elizabeth Brisco is licensed to practice in Washington (license number PA60739138) 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 1780780619.
Provider's Profile
| Full Name | Rebecca Elizabeth Brisco |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 940 E 5th St, Coquille, 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: 1780780619
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 09/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 0042124604
- Enrollment ID: I20031226000286
Medical Identifiers
Medical identifiers for Rebecca Elizabeth Brisco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780780619 | NPI | - | NPPES |
| 2078139 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | PA195440 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA60739138 (Washington) | Primary |
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. Rebecca Elizabeth Brisco 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 |
|---|
Rebecca Elizabeth Brisco, PA-C
940 E 5th St,
Coquille, OR 97423-1699
Ph: (541) 396-3111 | Rebecca Elizabeth Brisco, PA-C
940 E 5th St,
Coquille, OR 97423-1699
Ph: (541) 396-3111 |
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