Vivian Enyo Dzata, NP in Springfield, OR - Medicare Nurse Practitioner

Vivian Enyo Dzata, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Springfield, Oregon. Her current practice location is 2073 Olympic St, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 682-3550.

Vivian Enyo Dzata is licensed to practice in Oregon (license number 201602785NP-PP) 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 1023245024.

Contact Information

	Vivian Enyo Dzata, NP
	2073 Olympic St, Springfield, OR 97477-3413
	(541) 682-3550
	(541) 682-3551

Map and Direction

Provider's Profile

Full Name	Vivian Enyo Dzata
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2073 Olympic St, Springfield, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023245024
Provider Enumeration Date: 06/17/2009
Last Update Date: 07/25/2016

Medicare PECOS Information:

PECOS PAC ID: 8729128400
Enrollment ID: I20160805001724

Medical Identifiers

Medical identifiers for Vivian Enyo Dzata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023245024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	201602785NP-PP (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. Vivian Enyo Dzata allows following entities to bill medicare on her behalf.

Entity Name	Lane County Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023

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. Vivian Enyo Dzata 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
Vivian Enyo Dzata, NP 2073 Olympic St, Springfield, OR 97477-3413 Ph: (541) 682-3550	Vivian Enyo Dzata, NP 2073 Olympic St, Springfield, OR 97477-3413 Ph: (541) 682-3550

Reviews and Comments

Nurse Practitioner Nurses in Springfield, OR

Mrs. Kay Ann Froemming, RN CPNP IBLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Q St, Springfield, OR 97477 Phone: 641-744-7121 Fax: 541-726-4104
Cierra Hibbs-porter-rogge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400
Donna Cash, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 River Bend Drive, Suite 300, Springfield, OR 97477 Phone: 541-484-4332 Fax: 541-302-0786
Patricia Louise Brisco, ANP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3355 Riverbend Dr Ste 300, Springfield, OR 97477 Phone: 541-868-9303 Fax: 541-868-9306
Alan Joseph Garcin, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401
Barbara L Bryson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic Street, Springfield, OR 97477 Phone: 451-682-3550 Fax: 451-682-3551

Vivian Enyo Dzata, NP - Medicare Nurse Practitioner in Springfield, OR