Mark Bollman, MD - Medicare Pediatrics in Portland, OR

Mark Bollman, MD is a medicare enrolled "Pediatrics - Hospice And Palliative Medicine" physician in Portland, Oregon. His current practice location is 1015 Nw 22nd Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 220-1000.

Mark Bollman is licensed to practice in Texas (license number R3478) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164841219.

Contact Information

Mark Bollman, MD
1015 Nw 22nd Ave,
Portland, OR 97210-3025
(503) 220-1000
Not Available

Map and Direction




Physician's Profile

Full NameMark Bollman
GenderMale
SpecialityPediatrics - Hospice And Palliative Medicine
Location1015 Nw 22nd Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164841219
  • Provider Enumeration Date: 04/15/2014
  • Last Update Date: 09/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2365711850
  • Enrollment ID: I20181030001550

Medical Identifiers

Medical identifiers for Mark Bollman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164841219NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080H0002XPediatrics - Hospice And Palliative Medicine R3478 (Texas)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. Mark Bollman allows following entities to bill medicare on his behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089

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. Mark Bollman 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
Mark Bollman, MD
1015 Nw 22nd Ave,
Portland, OR 97210-3025

Ph: (503) 413-3900
Mark Bollman, MD
1015 Nw 22nd Ave,
Portland, OR 97210-3025

Ph: (503) 220-1000

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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