Brant William Ullery, MD - Medicare General Surgery in Portland, OR

Brant William Ullery, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Portland, Oregon. He went to Js Weill Medical College, Cornell University and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 5050 Ne Hoyt St Ste 511, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 962-1020.

Brant William Ullery is licensed to practice in Oregon (license number MD171554) 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 1588826804.

Contact Information

Brant William Ullery, MD
5050 Ne Hoyt St Ste 511,
Portland, OR 97213-2984
(503) 962-1020
Not Available

Map and Direction




Physician's Profile

Full NameBrant William Ullery
GenderMale
SpecialityGeneral Surgery
Experience16 Years
Location5050 Ne Hoyt St Ste 511, Portland, Oregon
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:
  • Brant William Ullery attended and graduated from Js Weill Medical College, Cornell University in 2008
  NPI Data:
  • NPI Number: 1588826804
  • Provider Enumeration Date: 06/27/2008
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981922903
  • Enrollment ID: I20150422002206

Medical Identifiers

Medical identifiers for Brant William Ullery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588826804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MT193480 (Pennsylvania)Secondary
2086S0129XSurgery - Vascular Surgery MD171554 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital
Providence Portland Medical CenterPortland, ORHospital
Providence Willamette Falls Medical CenterOregon city, ORHospital
Providence Milwaukie HospitalMilwaukie, ORHospital

Group Practice Association

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

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. Brant William Ullery allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626

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. Brant William Ullery 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
Brant William Ullery, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494
Brant William Ullery, MD
5050 Ne Hoyt St Ste 511,
Portland, OR 97213-2984

Ph: (503) 962-1020

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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