Jared L Wutzke, MD - Medicare Emergency Medicine in Walla Walla, WA

Jared L Wutzke, MD is a medicare enrolled "Emergency Medicine" physician in Walla Walla, Washington. He went to Oregon Health Sciences University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Providence Health And Services - Washington and his current practice location is 401 W Poplar St, Psmmc Er, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 522-5802.

Jared L Wutzke is licensed to practice in Washington (license number MD60141552) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225238207.

Contact Information

Jared L Wutzke, MD
401 W Poplar St, Psmmc Er,
Walla Walla, WA 99362-2846
(509) 522-5802
(509) 522-5541



Physician's Profile

Full NameJared L Wutzke
GenderMale
SpecialityEmergency Medicine
Experience17 Years
Location401 W Poplar St, Walla Walla, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jared L Wutzke attended and graduated from Oregon Health Sciences University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1225238207
  • Provider Enumeration Date: 07/19/2007
  • Last Update Date: 03/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7416081385
  • Enrollment ID: I20100813000379

Medical Identifiers

Medical identifiers for Jared L Wutzke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225238207NPI-NPPES
500626093MedicaidOR
1225238207MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD60141552 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Mary Medical CenterWalla walla, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services - Washington2860552973217

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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. Jared L Wutzke allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services - Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922259738
PECOS PAC ID: 2860552973
Enrollment ID: O20081223000478

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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. Jared L Wutzke 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
Jared L Wutzke, MD
Po Box 34439,
Seattle, WA 98124-1439

Ph: () -
Jared L Wutzke, MD
401 W Poplar St, Psmmc Er,
Walla Walla, WA 99362-2846

Ph: (509) 522-5802

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Emergency Medicine Doctors in Walla Walla, WA

Dr. Philip A Green, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362
Phone: 509-522-5802    Fax: 509-522-5541
Shirley Robin Vonhaven, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 401 W Poplar, Walla Walla, WA 99362
Phone: 509-522-5802    Fax: 509-522-5950
Dr. Morgan C Galante, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362
Phone: 509-897-3700    
Joilo Barbosa, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 123 E Main St # 268, Walla Walla, WA 99362
Phone: 509-529-2966    
Aaron B Jones, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 W Poplar St, Emergency Department, Walla Walla, WA 99362
Phone: 509-525-3320    
Eric Trent Brown, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362
Phone: 509-522-5802    Fax: 509-522-5541

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