Alisa Rose Awtry, MD - Medicare Family Practice in Newberg, OR

Alisa Rose Awtry, MD is a medicare enrolled "Family Medicine" physician in Newberg, Oregon. She went to University Of California, San Diego School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 1000 N Providence Dr Ste 210, Newberg, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 537-5900.

Alisa Rose Awtry is licensed to practice in Oregon (license number MD211147) 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 1801213137.

Contact Information

Alisa Rose Awtry, MD
1000 N Providence Dr Ste 210,
Newberg, OR 97132-7582
(503) 537-5900
Not Available



Physician's Profile

Full NameAlisa Rose Awtry
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location1000 N Providence Dr Ste 210, Newberg, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alisa Rose Awtry attended and graduated from University Of California, San Diego School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1801213137
  • Provider Enumeration Date: 03/25/2014
  • Last Update Date: 06/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587966148
  • Enrollment ID: I20221006003413

Medical Identifiers

Medical identifiers for Alisa Rose Awtry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801213137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A138008 (California)Secondary
207Q00000XFamily Medicine MD211147 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Newberg Medical CenterNewberg, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081328

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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. Alisa Rose Awtry allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652

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Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952482275
PECOS PAC ID: 3072415652
Enrollment ID: O20040123000519

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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. Alisa Rose Awtry 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 AddressPractice Location Address
Alisa Rose Awtry, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494
Alisa Rose Awtry, MD
1000 N Providence Dr Ste 210,
Newberg, OR 97132-7582

Ph: (503) 537-5900

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Family Medicine Doctors in Newberg, OR

Dr. John L Cummings, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 506 Villa Rd, Newberg, OR 97132
Phone: 503-538-4544    Fax: 503-538-9257
Jaecelle Guadiz Galeniece, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1003 Providence Dr Ste 110, Newberg, OR 97132
Phone: 503-537-5900    Fax: 503-537-5959
Chelsea Deselms, APRN, FNP-C, CFMP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 617 N. Main St., Newberg, OR 97132
Phone: 503-476-1431    Fax: 855-247-1666
Jeremy S. Swindle, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Providence Dr Ste 210, Newberg, OR 97132
Phone: 503-537-5900    Fax: 503-537-5900
Dr. Spencer James Chun, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2880 Hayes St., Newberg Urgent Care, Newberg, OR 97132
Phone: 503-537-9600    Fax: 503-537-0105
Dr. Robert Jerome Mcqueen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2880 Hayes St, Newberg, OR 97132
Phone: 503-537-9600    Fax: 503-537-0105
Dr. William Merrill Bailey, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 308 Villa Road Ste 114, Newberg, OR 97132
Phone: 503-538-9431    Fax: 503-538-2358

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