Dr Mark Alan Gibson, MD in Portland, OR - Medicare Diagnostic Radiology

Dr Mark Alan Gibson, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Portland, Oregon. He went to Indiana University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Providence Health And Services Oregon, Radiology Specialists Of The Northwest Pc and his current practice location is 545 Ne 47th Ave Ste 215, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 731-2900.

Dr Mark Alan Gibson is licensed to practice in Oregon (license number MD28156) 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 1710122106.

Contact Information

	Dr Mark Alan Gibson, MD
	545 Ne 47th Ave Ste 215, Portland, OR 97213-2237
	(503) 731-2900
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mark Alan Gibson
Gender	Male
Speciality	Diagnostic Radiology
Experience	21 Years
Location	545 Ne 47th Ave Ste 215, 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 Mark Alan Gibson attended and graduated from Indiana University School Of Medicine in 2003

NPI Data:

NPI Number: 1710122106
Provider Enumeration Date: 12/13/2008
Last Update Date: 05/12/2009

Medicare PECOS Information:

PECOS PAC ID: 0648324194
Enrollment ID: I20090818000338

Medical Identifiers

Medical identifiers for Dr Mark Alan Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710122106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	MD28156 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Portland Medical Center	Portland, OR	Hospital
Providence Willamette Falls Medical Center	Oregon city, OR	Hospital
Providence Milwaukie Hospital	Milwaukie, OR	Hospital
Providence St Vincent Medical Center	Portland, OR	Hospital
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1328
Radiology Specialists Of The Northwest Pc	6204829963	24

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 Mark Alan Gibson allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Radiology Specialists Of The Northwest Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699759498 PECOS PAC ID: 6204829963 Enrollment ID: O20040407000754

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 Mark Alan Gibson 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 Mark Alan Gibson, MD 545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 Ph: (503) 731-2900	Dr Mark Alan Gibson, MD 545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 Ph: (503) 731-2900

Reviews and Comments

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Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903
Erik W Foss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-2570
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990

Dr Mark Alan Gibson, MD - Medicare Diagnostic Radiology in Portland, OR