Dr Douglas Reed Grossnickle, MD in Portland, OR

Dr Douglas Reed Grossnickle, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Legacy Clinics Llc and his current practice location is 10373 Ne Hancock, Suite 219, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 775-7407.

Dr Douglas Reed Grossnickle is licensed to practice in Oregon (license number MD13084) 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 1669418810.

Contact Information

	Dr Douglas Reed Grossnickle, MD
	10373 Ne Hancock, Suite 219, Portland, OR 97220
	(503) 775-7407
	(503) 775-1547

Map and Direction

Physician's Profile

Full Name	Dr Douglas Reed Grossnickle
Gender	Male
Speciality	Internal Medicine
Experience	45 Years
Location	10373 Ne Hancock, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Douglas Reed Grossnickle attended and graduated from Oregon Health Sciences University School Of Medicine in 1979

NPI Data:

NPI Number: 1669418810
Provider Enumeration Date: 06/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6002819992
Enrollment ID: I20060815000085

Medical Identifiers

Medical identifiers for Dr Douglas Reed Grossnickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669418810	NPI	-	NPPES
264119	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	MD13084 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Mount Hood Medical Center	Gresham, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Clinics Llc	0244144004	603

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 Douglas Reed Grossnickle allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Silverton Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172

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 Douglas Reed Grossnickle 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 Douglas Reed Grossnickle, MD 10113 Se Cleone Ct, Portland, OR 97266 Ph: (503) 775-7407	Dr Douglas Reed Grossnickle, MD 10373 Ne Hancock, Suite 219, Portland, OR 97220 Ph: (503) 775-7407

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Dr Douglas Reed Grossnickle, MD - Medicare Internal Medicine in Portland, OR