Marshall Albert Canizalez, AUD - Medicare Audiologist in Gresham, OR

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Marshall Albert Canizalez, AUD is a medicare enrolled "Audiologist" provider in Gresham, Oregon. His current practice location is 24076 Se Stark St Ste 230, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 488-2600.

Marshall Albert Canizalez is licensed to practice in Oregon (license number 31054) 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 1376205278.

Contact Information

Marshall Albert Canizalez, AUD
24076 Se Stark St Ste 230,
Gresham, OR 97030-3385
(503) 488-2600
(503) 465-5468

Map and Direction




Healthcare Provider's Profile

Full NameMarshall Albert Canizalez
GenderMale
SpecialityAudiologist
Location24076 Se Stark St Ste 230, Gresham, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376205278
  • Provider Enumeration Date: 10/07/2021
  • Last Update Date: 12/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880064732
  • Enrollment ID: I20230110002296

Medical Identifiers

Medical identifiers for Marshall Albert Canizalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376205278NPI-NPPES
500813168MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 147001852 (Illinois)Secondary
237600000XAudiologist-hearing Aid Fitter (* (Not Available))Secondary
231H00000XAudiologist 31054 (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. Marshall Albert Canizalez allows following entities to bill medicare on his behalf.
Provider NameOregon Clinic Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265417174
PECOS PAC ID: 2860390408
Enrollment ID: O20031222000096
Provider NameKaiser Foundation Health Plan Of The Northwest
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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. Marshall Albert Canizalez 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
Marshall Albert Canizalez, AUD
847 Ne 19th Ave Ste 300,
Portland, OR 97232-2686

Ph: (503) 963-2801		Marshall Albert Canizalez, AUD
24076 Se Stark St Ste 230,
Gresham, OR 97030-3385

Ph: (503) 488-2600

Reviews and Comments


Audiologist in Gresham, OR

Jennifer Robyn Briggs,
Audiologist
Medicare: Medicare Enrolled
Practice Location: 24076 Se Stark St, Suite 230, Gresham, OR 97030
Phone: 503-488-2600    Fax: 503-465-5468
Audiology And Hearing Aid Center Of Gresham
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 752 Ne Burnside St, Gresham, OR 97030
Phone: 503-669-7061    Fax: 503-492-3033
Lottie Renee Rotterman, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 24076 Se Stark St, Suite 230, Gresham, OR 97030
Phone: 503-465-5461    Fax: 503-465-5468

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.