Moses Sujad Ijaz, DO in Portland, OR

Moses Sujad Ijaz, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Portland, Oregon. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 4805 Ne Glisan St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-4860.

Moses Sujad Ijaz is licensed to practice in Oregon (license number DO195772) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1558325902.

Contact Information

	Moses Sujad Ijaz, DO
	4805 Ne Glisan St, Portland, OR 97213-2933
	(503) 215-4860
	Not Available

Map and Direction

Physician's Profile

Full Name	Moses Sujad Ijaz
Gender	Male
Speciality	Psychiatry
Experience	37 Years
Location	4805 Ne Glisan St, Portland, Oregon
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Moses Sujad Ijaz attended and graduated from Michigan State University College Of Osteopathic Medicine in 1987

NPI Data:

NPI Number: 1558325902
Provider Enumeration Date: 04/13/2006
Last Update Date: 03/18/2021

Medicare PECOS Information:

PECOS PAC ID: 8820989635
Enrollment ID: I20200317002804

Medical Identifiers

Medical identifiers for Moses Sujad Ijaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558325902	NPI	-	NPPES
2275621	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	34. 005207 (Ohio)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	DO195772 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. Moses Sujad Ijaz 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	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	Cynthia Gulick, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467675009 PECOS PAC ID: 2860487279 Enrollment ID: O20040415001287

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. Moses Sujad Ijaz 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
Moses Sujad Ijaz, DO Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Moses Sujad Ijaz, DO 4805 Ne Glisan St, Portland, OR 97213-2933 Ph: (503) 215-4860

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

Moses Sujad Ijaz, DO - Medicare Psychiatry in Portland, OR