Jessica Brooke Tegen, OD is a medicare enrolled "Optometrist" provider in Madras, Oregon. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Optometry. Her current practice location is
211 Se 5th St, Madras, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 475-2020.
Jessica Brooke Tegen is licensed to practice in Oregon (license number 3215AT) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982802112.
Healthcare Provider's Profile
| Full Name | Jessica Brooke Tegen |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 19 Years |
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| Location | 211 Se 5th St, Madras, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica Brooke Tegen graduated from medical school in 2007
NPI Data:
- NPI Number: 1982802112
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 03/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 2860580560
- Enrollment ID: I20071114000035
Medical Identifiers
Medical identifiers for Jessica Brooke Tegen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982802112 | NPI | - | NPPES |
| 3215ATI | Other | OR | STATE LICENSE |
| 244121 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 3215AT (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. Jessica Brooke Tegen allows following entities to bill medicare on her behalf.
| Provider Name | Madras Vision Source Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164791414
PECOS PAC ID: 5890042295
Enrollment ID: O20180717000639 |
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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. Jessica Brooke Tegen 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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Jessica Brooke Tegen, OD
211 Se 5th St,
Madras, OR 97741-1627
Ph: (541) 475-2020 | Jessica Brooke Tegen, OD
211 Se 5th St,
Madras, OR 97741-1627
Ph: (541) 475-2020 |
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