Amy D Carolan, MD - Medicare Hospitalist in Portland, OR

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Amy D Carolan, MD is a medicare enrolled "Hospitalist" physician in Portland, Oregon. She went to New York Medical College and graduated in 1999 and has 27 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 4805 Ne Glisan St, Suite Bg05, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-2392.

Amy D Carolan is licensed to practice in Oregon (license number MD23489) 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 1295762946.

Contact Information

Amy D Carolan, MD
4805 Ne Glisan St, Suite Bg05,
Portland, OR 97213-2933
(503) 215-2392
(503) 215-6918

Map and Direction




Physician's Profile

Full NameAmy D Carolan
GenderFemale
SpecialityHospitalist
Experience27 Years
Location4805 Ne Glisan St, 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:
  • Amy D Carolan attended and graduated from New York Medical College in 1999
  NPI Data:
  • NPI Number: 1295762946
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 10/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0749208668
  • Enrollment ID: I20051109000086

Medical Identifiers

Medical identifiers for Amy D Carolan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295762946NPI-NPPES
P00464791OtherORRR MEDICARE (PH&S)-PMG
286794MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD23489 (Oregon)Secondary
208M00000XHospitalist MD23489 (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 Oregon06481836081338

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. Amy D Carolan 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: 1093976243
PECOS PAC ID: 3476450560
Enrollment ID: O20031217000186
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568547503
PECOS PAC ID: 5294623245
Enrollment ID: O20040310000315

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. Amy D Carolan 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
Amy D Carolan, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Amy D Carolan, MD
4805 Ne Glisan St, Suite Bg05,
Portland, OR 97213-2933

Ph: (503) 215-2392

Reviews and Comments


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Dr. Augustine Okechukwu Okeke, M.D.
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Dr. Rachel Anne Westwood, MD
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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.

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).

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