| Dr Priscilla Kim Codiga, MD | |
|
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
| (503) 494-1164 | |
| (503) 494-5502 |
| Full Name | Dr Priscilla Kim Codiga |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 30 Years |
| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629009402 | NPI | - | NPPES |
| 00A761710 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16690 (Hawaii) | Secondary |
| 208M00000X | Hospitalist | 68867 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | MD190066 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| South Peninsula Hospital | Homer, AK | Hospital |
| Sky Lakes Medical Center | Klamath falls, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sky Lakes Medical Center Inc | 1052204096 | 170 |
| Southern Oregon Hospitalists Pc | 1456308493 | 41 |
| Tuality Medical Group Llc | 7416173414 | 255 |
| South Peninsula Hospital Inc | 5395636930 | 57 |
| Entity Name | Sky Lakes Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
| Entity Name | Southern Oregon Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508816794 PECOS PAC ID: 1456308493 Enrollment ID: O20050401000683 |
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508023789 PECOS PAC ID: 5991618738 Enrollment ID: O20050401000747 |
| 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 |
| Entity Name | Asante Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 |
| Entity Name | Tuality Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Priscilla Kim Codiga, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-1164 | Dr Priscilla Kim Codiga, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-1164 |
Ellen B Stevenson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2801 N Gantenbein Ave, Department Of Pediatrics, Legacy Emanuel Hospital, Portland, OR 97227 Phone: 503-413-2402 Fax: 503-413-2566 | |
Dr. Augustine Okechukwu Okeke, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 540, Portland, OR 97213 Phone: 503-215-6600 | |
Ivan I Biley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Mt 2800, Portland, OR 97225 Phone: 503-216-2621 | |
Dr. Rhonda Ann Brown, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St, Portland, OR 97213 Phone: 503-215-0750 | |
Todd R Merrick, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 Fax: 503-216-4114 | |
Dr. Rachel Anne Westwood, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239 Phone: 503-494-8311 | |
Joel N Papak, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, P3med, Portland, OR 97239 Phone: 503-220-8262 |