Daniel Petrisor, DMD, MD - Medicare in Portland, OR

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Daniel Petrisor, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8916.

Daniel Petrisor is licensed to practice in Oregon (license number MD154906) 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 1235332834.

Contact Information

Daniel Petrisor, DMD, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-8916
(503) 494-6783

Map and Direction




Healthcare Provider's Profile

Full NameDaniel Petrisor
GenderMale
SpecialityMaxillofacial Surgery
Location3181 Sw Sam Jackson Park Rd, 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:
  • Daniel Petrisor graduated from medical school in
  NPI Data:
  • NPI Number: 1235332834
  • Provider Enumeration Date: 06/09/2007
  • Last Update Date: 07/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1355465576
  • Enrollment ID: I20111026000020

Medical Identifiers

Medical identifiers for Daniel Petrisor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235332834NPI-NPPES
500654224MedicaidOR
BP1-0026540OtherINSTITUTIONAL PERMIT
0022923-00MedicaidFL
148H9OtherFLBCBS FL
500651136MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery D9059 (Oregon)Secondary
204E00000XOral & Maxillofacial Surgery MD154906 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohsu Hospital And ClinicsPortland, ORHospital

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. Daniel Petrisor allows following entities to bill medicare on his behalf.
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

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. Daniel Petrisor 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
Daniel Petrisor, DMD, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-8916		Daniel Petrisor, DMD, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-8916

Reviews and Comments



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.