Dr Jennifer L Wrazen, MD, FAAP - Medicare Pediatrics in Waldport, OR

Dr Jennifer L Wrazen, MD, FAAP is a medicare enrolled "Pediatrics" physician in Waldport, Oregon. Her current practice location is 920 Sw Range Dr, Waldport, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 563-3197.

Dr Jennifer L Wrazen is licensed to practice in Oregon (license number MD21902) 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 1366486532.

Contact Information

Dr Jennifer L Wrazen, MD, FAAP
920 Sw Range Dr,
Waldport, OR 97394-9634
(541) 563-3197
Not Available



Physician's Profile

Full NameDr Jennifer L Wrazen
GenderFemale
SpecialityPediatrics
Location920 Sw Range Dr, Waldport, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366486532
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 11/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799942694
  • Enrollment ID: I20120203000765

Medical Identifiers

Medical identifiers for Dr Jennifer L Wrazen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366486532NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD21902 (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. Dr Jennifer L Wrazen allows following entities to bill medicare on her behalf.
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304

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Entity NameSamaritan Pacific Health Services Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1801847066
PECOS PAC ID: 2466353529
Enrollment ID: O20061104000163

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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. Dr Jennifer L Wrazen 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
Dr Jennifer L Wrazen, MD, FAAP
Po Box 2847,
Corvallis, OR 97339-2847

Ph: () -
Dr Jennifer L Wrazen, MD, FAAP
920 Sw Range Dr,
Waldport, OR 97394-9634

Ph: (541) 563-3197

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› Verified 3 days ago


Pediatrics Doctors in Waldport, OR


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