Jonathan Glazer Shaw, MD in Portland, OR - Medicare Family Practice

Jonathan Glazer Shaw, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. He went to Harvard Medical School and graduated in 2006 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice South County Community Health Center Inc and his current practice location is 5530 Ne 42nd Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 988-5558.

Jonathan Glazer Shaw is licensed to practice in California (license number A115912) 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 1265631709.

Contact Information

	Jonathan Glazer Shaw, MD
	5530 Ne 42nd Ave, Portland, OR 97218-1408
	(503) 988-5558
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Glazer Shaw
Gender	Male
Speciality	Family Practice
Experience	20 Years
Location	5530 Ne 42nd Ave, 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:

Jonathan Glazer Shaw attended and graduated from Harvard Medical School in 2006

NPI Data:

NPI Number: 1265631709
Provider Enumeration Date: 07/14/2007
Last Update Date: 04/13/2026

Medicare PECOS Information:

PECOS PAC ID: 9830240928
Enrollment ID: I20141025000000

Medical Identifiers

Medical identifiers for Jonathan Glazer Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265631709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A115912 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Stanford Health Care	Stanford, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South County Community Health Center Inc	3577474634	20

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. Jonathan Glazer Shaw allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

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. Jonathan Glazer Shaw 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
Jonathan Glazer Shaw, MD 5530 Ne 42nd Ave, Portland, OR 97218-1408 Ph: (503) 988-5558	Jonathan Glazer Shaw, MD 5530 Ne 42nd Ave, Portland, OR 97218-1408 Ph: (503) 988-5558

Reviews and Comments

Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779

Jonathan Glazer Shaw, MD - Medicare Family Practice in Portland, OR