Chanida Putwanphen Wilson, - Medicare Nurse Practitioner in Albany, OR

Chanida Putwanphen Wilson, is a medicare enrolled "Nurse Practitioner" in Albany, Oregon. Her current practice location is 1100 7th Ave Sw, Albany, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 812-5600.

Chanida Putwanphen Wilson is licensed to practice in Oregon (license number 202215285NP-PP) 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 1376279323.

Contact Information

Chanida Putwanphen Wilson,
1100 7th Ave Sw,
Albany, OR 97321-1925
(541) 812-5600
Not Available



Provider's Profile

Full NameChanida Putwanphen Wilson
GenderFemale
SpecialityNurse Practitioner
Location1100 7th Ave Sw, Albany, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376279323
  • Provider Enumeration Date: 07/30/2022
  • Last Update Date: 06/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830556786
  • Enrollment ID: I20230607003211

Medical Identifiers

Medical identifiers for Chanida Putwanphen Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376279323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1061486 (Texas)Secondary
363L00000XNurse Practitioner 61302785 (Washington)Secondary
363L00000XNurse Practitioner 202215285NP-PP (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. Chanida Putwanphen Wilson allows following entities to bill medicare on her behalf.
Entity NameMid-valley Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20031111000297

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Entity NameGood Samaritan Hospital Corvallis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962453134
PECOS PAC ID: 1557270725
Enrollment ID: O20031125000163

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Entity NameSamaritan North Lincoln Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20040120000329

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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 NameAlbany General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154372340
PECOS PAC ID: 9931097987
Enrollment ID: O20040310000310

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The Democratic National Committee on Monday during the Democratic National Convention voted to adopt a non-binding party platform that includes language about health care, the AP/Long Island Newsday reports. According to the AP/Newsday, the platform in large part follows recommendations from presumptive Democratic presidential nominee Sen. Barack Obama (Ill.) but moves "beyond his proposals in calling for guaranteed health care for all" (Woodward, AP/Long Island Newsday, 8/26).

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Entity NameSamaritan North Lincoln Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20061104000117

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Entity NameMid-valley Healthcare Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20061104000140

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Promedior, Inc., a leader in the development of novel therapeutics for the treatment of fibrotic diseases and tissue remodeling, announced today that the European Commission has granted Orphan Medicinal Product Designation to its lead drug candidate PRM-151 for use in the prevention of scarring post glaucoma filtration surgery.

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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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Single submission of orphan drug designation annual report for both FDA and EMA

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Promedior granted European Orphan Medicinal Product Designation for PRM-151

Promedior, Inc., a leader in the development of novel therapeutics for the treatment of fibrotic diseases and tissue remodeling, announced today that the European Commission has granted Orphan Medicinal Product Designation to its lead drug candidate PRM-151 for use in the prevention of scarring post glaucoma filtration surgery.

Democratic National Committee approves platform with health care language; Obama campaigns in Iowa

The Democratic National Committee on Monday during the Democratic National Convention voted to adopt a non-binding party platform that includes language about health care, the AP/Long Island Newsday reports. According to the AP/Newsday, the platform in large part follows recommendations from presumptive Democratic presidential nominee Sen. Barack Obama (Ill.) but moves "beyond his proposals in calling for guaranteed health care for all" (Woodward, AP/Long Island Newsday, 8/26).

Niusule Biotech announces financial guidance for year ending December 31, 2010

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› Verified 8 days ago

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. Chanida Putwanphen Wilson 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
Chanida Putwanphen Wilson,
Po Box 1189,
Corvallis, OR 97339-1189

Ph: () -
Chanida Putwanphen Wilson,
1100 7th Ave Sw,
Albany, OR 97321-1925

Ph: (541) 812-5600

News Archive

Single submission of orphan drug designation annual report for both FDA and EMA

In recognition of World Rare Disease Day, the U.S. Food and Drug Administration and the European Medicines Agency (EMA) today announced a more streamlined process to help regulators better identify and share information throughout the development process of orphan drug and biologic products, which are developed specifically to treat rare medical conditions. Both agencies have agreed to accept the submission of a single annual report from sponsors of orphan drug and biologic products designated by both the United States and the European Union.

Promedior granted European Orphan Medicinal Product Designation for PRM-151

Promedior, Inc., a leader in the development of novel therapeutics for the treatment of fibrotic diseases and tissue remodeling, announced today that the European Commission has granted Orphan Medicinal Product Designation to its lead drug candidate PRM-151 for use in the prevention of scarring post glaucoma filtration surgery.

Democratic National Committee approves platform with health care language; Obama campaigns in Iowa

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› Verified 8 days ago


Nurse Practitioner Nurses in Albany, OR

Huei Ling Tsai, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2832 Weather Stone St Nw # Na, Albany, OR 97321
Phone: 415-619-4332    
Ms. Virginia J Taylor, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1100 7th Ave Sw, Albany, OR 97321
Phone: 541-812-4980    Fax: 541-926-9329
Mrs. Jessica Anne Henry, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Geary St Se, Albany, OR 97322
Phone: 541-812-5500    
Ms. Jennifer Marie Wilson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Geary St Se, Albany, OR 97322
Phone: 541-812-5500    
Susan Parker, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1005 Springhill Dr. Nw, Albany, OR 97321
Phone: 541-967-4518    
Mrs. Yvonne Elaine Keep, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1705 Waverly Dr Se, Albany, OR 97322
Phone: 541-967-8221    
Jonell Blase, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1100 7th Ave Sw, Albany, OR 97321
Phone: 541-812-5600    

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