John M Custis, MD in Gresham, OR

John M Custis, MD is a Internal Medicine physician based in Gresham, Oregon. John M Custis is licensed to practice in Oregon (license number MD09069) and his current practice location is 24900 Se Stark, Ste 109, Gresham, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 667-1015.

NPI number for John M Custis is 1770561813 and his current mailing address is Po Box 23200, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770561813.

Contact Information

	John M Custis, MD
	24900 Se Stark, Ste 109, Gresham, OR 97030
	(503) 667-1015
	(503) 667-0406

Map and Direction

Physician's Profile

Full Name	John M Custis
Gender	Male
Speciality	Internal Medicine
Location	24900 Se Stark, Gresham, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1770561813
Provider Enumeration Date: 01/09/2006
Last Update Date: 12/21/2007

Medical Identifiers

Medical identifiers for John M Custis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770561813	NPI	-	NPPES
276659	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD09069 (Oregon)	Primary

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. John M Custis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John M Custis, MD Po Box 23200, Portland, OR 97281-3200 Ph: (503) 667-1015	John M Custis, MD 24900 Se Stark, Ste 109, Gresham, OR 97030 Ph: (503) 667-1015

Reviews and Comments

Internal Medicine Doctors in Gresham, OR

Kathrin Rose Meyers, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951
Dr. Kathryn L Huyssoon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-674-5818 Fax: 503-674-6709
Dr. Brittany Nicole Kishel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951
Amy Katherine Chaumeton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581
Aura Theresa Bondoc De Olazo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581
Dr. Brittney B Mensen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030 Phone: 503-665-8176 Fax: 503-665-8178
Richard Wayne Craft Sr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St Ste 202, Gresham, OR 97030 Phone: 503-465-8887 Fax: 503-465-8808

John M Custis, MD - Internal Medicine in Gresham, OR