Jared Adam Shipley, MD - Medicare Pulmonary Disease in Portland, OR

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Jared Adam Shipley, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Portland, Oregon. He went to Drexel University College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Oregon Clinic Pc and his current practice location is 9427 Sw Barnes Rd Ste 296, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 297-3778.

Jared Adam Shipley is licensed to practice in Oregon (license number MD154067) 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 1194933770.

Contact Information

Jared Adam Shipley, MD
9427 Sw Barnes Rd Ste 296,
Portland, OR 97225-6652
(503) 297-3778
(503) 297-7853

Map and Direction




Physician's Profile

Full NameJared Adam Shipley
GenderMale
SpecialityPulmonary Disease
Experience19 Years
Location9427 Sw Barnes Rd Ste 296, 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:
  • Jared Adam Shipley attended and graduated from Drexel University College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1194933770
  • Provider Enumeration Date: 05/18/2007
  • Last Update Date: 11/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284820275
  • Enrollment ID: I20110906000167

Medical Identifiers

Medical identifiers for Jared Adam Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194933770NPI-NPPES
2017145MedicaidWA
500636829MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MD154067 (Oregon)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD154067 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital
Providence Newberg Medical CenterNewberg, ORHospital
Providence Seaside HospitalSeaside, ORHospital
Adventist Health TillamookTillamook, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oregon Clinic Pc2860390408319

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 Adam Shipley 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: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093976243
PECOS PAC ID: 3476450560
Enrollment ID: O20031217000186
Entity NameOregon Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265417174
PECOS PAC ID: 2860390408
Enrollment ID: O20031222000096
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952482275
PECOS PAC ID: 3072415652
Enrollment ID: O20040123000519
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568547503
PECOS PAC ID: 5294623245
Enrollment ID: O20040310000315

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 Adam Shipley 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 Adam Shipley, MD
847 Ne 19th Ave, Suite 300,
Portland, OR 97232-2684

Ph: (503) 963-2801		Jared Adam Shipley, MD
9427 Sw Barnes Rd Ste 296,
Portland, OR 97225-6652

Ph: (503) 297-3778

Reviews and Comments


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Donald Richard Sullivan, MD
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Dr. Victor Nguyen Pham, M.D.
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Richa Uppal, MD
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Practice Location: 800 Sw 13th Ave, Portland, OR 97205
Phone: 503-221-0161    Fax: 503-274-1697
Reem Hasan, MD
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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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