Willamette Orthopedic Group Llc is a medicare enrolled "Orthopaedic Surgery" provider in Salem, Oregon. Their current practice location is
1600 State St, Salem, Oregon. You can reach out to their office (for appointments etc.) via phone at
(503) 540-6300.
Willamette Orthopedic Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Willamette Orthopedic Group Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1134145360.
Healthcare Provider's Profile
| Full Name | Willamette Orthopedic Group Llc |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery |
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| Location | 1600 State St, Salem, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134145360
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 02/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032130679
- Enrollment ID: O20100930073049
Medical Identifiers
Medical identifiers for Willamette Orthopedic Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134145360 | NPI | - | NPPES |
| 278220 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | (* (Not Available)) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | (* (Not Available)) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | (* (Not Available)) | Secondary |
| 225000000X | Orthotic Fitter | OTC090820 (Oregon) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | 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. Willamette Orthopedic Group Llc 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 |
|---|
Willamette Orthopedic Group Llc
1600 State St,
Salem, OR 97301-4257
Ph: (503) 540-6300 | Willamette Orthopedic Group Llc
1600 State St,
Salem, OR 97301-4257
Ph: (503) 540-6300 |
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