Dr Heidi J Hansen, DMD - Medicare in Portland, OR

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Dr Heidi J Hansen, DMD is a medicare enrolled "Oral Medicinist" provider in Portland, Oregon. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Undefined Physician Type (specify). She is a member of the group practice Providence Health And Services Oregon and her current practice location is 4805 Ne Glisan St Ste 11n, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-1676.

Dr Heidi J Hansen is licensed to practice in Oregon (license number D11216) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063655967.

Contact Information

Dr Heidi J Hansen, DMD
4805 Ne Glisan St Ste 11n,
Portland, OR 97213-2933
(503) 215-1676
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Heidi J Hansen
GenderFemale
SpecialityUndefined Physician Type (specify)
Experience20 Years
Location4805 Ne Glisan St Ste 11n, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Heidi J Hansen graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1063655967
  • Provider Enumeration Date: 04/08/2009
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244402162
  • Enrollment ID: I20200612002440

Medical Identifiers

Medical identifiers for Dr Heidi J Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063655967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D11216 (Oregon)Secondary
122300000XDentist 055295 (New York)Secondary
125Q00000XOral Medicinist 055295 (New York)Secondary
125Q00000XOral Medicinist D11216 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Portland Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081328

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. Dr Heidi J Hansen allows following entities to bill medicare on her 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: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153

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. Dr Heidi J Hansen 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
Dr Heidi J Hansen, DMD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Dr Heidi J Hansen, DMD
4805 Ne Glisan St Ste 11n,
Portland, OR 97213-2933

Ph: (503) 215-1676

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.