Eric J Wattenburg, MD - Medicare Family Medicine in Redmond, OR

Eric J Wattenburg, MD is a medicare enrolled "Family Medicine" physician in Redmond, Oregon. His current practice location is 3818 Sw 21st St, Redmond, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 548-2899.

Eric J Wattenburg is licensed to practice in Oregon (license number MD29323) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194791640.

Contact Information

Eric J Wattenburg, MD
3818 Sw 21st St,
Redmond, OR 97756
(541) 548-2899
(541) 504-3781



Physician's Profile

Full NameEric J Wattenburg
GenderMale
SpecialityFamily Medicine
Location3818 Sw 21st St, Redmond, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194791640
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 01/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658426663
  • Enrollment ID: I20090826000950

Medical Identifiers

Medical identifiers for Eric J Wattenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194791640NPI-NPPES
00887743OtherORMEDICARE RAILROAD
500608820MedicaidOR
OOA787640MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD29323 (Oregon)Secondary
207Q00000XFamily Medicine A78764 (California)Secondary
207Q00000XFamily Medicine MD29323 (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. Eric J Wattenburg allows following entities to bill medicare on his behalf.
Entity NameIcco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510

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Entity NameYour Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942548433
PECOS PAC ID: 7315182383
Enrollment ID: O20130321000396

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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. Eric J Wattenburg 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
Eric J Wattenburg, MD
Po Box 4858,
Portland, OR 97208-4858

Ph: (541) 500-2500
Eric J Wattenburg, MD
3818 Sw 21st St,
Redmond, OR 97756

Ph: (541) 548-2899

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› Verified 5 days ago


Family Medicine Doctors in Redmond, OR

Dr. Alan C Hilles, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 865 Sw Veterans Way, Redmond, OR 97756
Phone: 541-322-3500    
Nathan R Thompson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 Nw Larch Ave, Redmond, OR 97756
Phone: 541-548-2164    Fax: 541-548-0534
Sheryl L Norris, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 211 Nw Larch Ave, Redmond, OR 97756
Phone: 541-548-2164    Fax: 541-548-0534
James K Detwiler, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 211 Nw Larch Ave, Redmond, OR 97756
Phone: 541-548-2164    Fax: 541-548-0534
Rose J Kenny, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1001 Nw Canal Blvd Ste 101, Redmond, OR 97756
Phone: 541-548-8088    Fax: 541-548-8018
Dr. Christopher Schuler, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 Nw Larch Ave, Redmond, OR 97756
Phone: 541-548-2164    Fax: 541-548-0534
Pamela J Irby, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 Nw Larch Ave, Redmond, OR 97756
Phone: 541-548-2164    Fax: 541-548-0534

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