Dr Bruce Leewiwatanakul, DO in Portland, OR - Medicare Psychiatry & Neurology

Dr Bruce Leewiwatanakul, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd., Ohsu, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8211.

Dr Bruce Leewiwatanakul is licensed to practice in Oregon (license number DO219810) 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 1821521279.

Contact Information

	Dr Bruce Leewiwatanakul, DO
	3181 Sw Sam Jackson Park Rd., Ohsu, Portland, OR 97239
	(503) 494-8211
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Bruce Leewiwatanakul
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	3181 Sw Sam Jackson Park Rd., Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821521279
Provider Enumeration Date: 04/04/2017
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 0446524409
Enrollment ID: I20200508002334

Medical Identifiers

Medical identifiers for Dr Bruce Leewiwatanakul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821521279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	DO197940 (Oregon)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	OS021227 (Pennsylvania)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	OS021227 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	DO219810 (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. Dr Bruce Leewiwatanakul allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Dr Bruce Leewiwatanakul 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 Address	Practice Location Address
Dr Bruce Leewiwatanakul, DO 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855	Dr Bruce Leewiwatanakul, DO 3181 Sw Sam Jackson Park Rd., Ohsu, Portland, OR 97239 Ph: (503) 494-8211

Reviews and Comments

Psychiatry & Neurology Doctors in Portland, OR

Mikel Matto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2214 Lloyd Ctr, Portland, OR 97232 Phone: 503-494-4222 Fax: 503-494-6143
William James Hoppe, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13303 Nw Springville Rd, Portland, OR 97229 Phone: 503-910-2664
Dr. Robert Gene Mealer, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6176 Fax: 503-494-6152
Karina Rae Espana, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Dr. David Morrison Douglas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-721-1440
Margaret S Cary, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code Dc7p, Portland, OR 97239 Phone: 503-418-5775 Fax: 503-418-5774
Dr. Melissa Beth Buboltz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239 Phone: 503-494-8311

Dr Bruce Leewiwatanakul, DO - Medicare Psychiatry & Neurology in Portland, OR