Dr Shevyll Arvie Siong Tan, MD - Medicare Internal Medicine in Gresham, OR

Dr Shevyll Arvie Siong Tan, MD is a medicare enrolled "Internal Medicine" physician in Gresham, Oregon. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice The Vancouver Clinic Inc Ps, The Vancouver Clinic Inc Ps and her current practice location is 24988 Stark. St., Legacy Medical Group Mount Hood, Suite 220 Medical Office Bldg 3, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (952) 583-4791.

Dr Shevyll Arvie Siong Tan is licensed to practice in Oregon (license number MD186467) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376720052.

Contact Information

Dr Shevyll Arvie Siong Tan, MD
24988 Stark. St., Legacy Medical Group Mount Hood, Suite 220 Medical Office Bldg 3,
Gresham, OR 97030
(952) 583-4791
Not Available

Map and Direction




Physician's Profile

Full NameDr Shevyll Arvie Siong Tan
GenderFemale
SpecialityInternal Medicine
Experience26 Years
Location24988 Stark. St., Legacy Medical Group Mount Hood, Gresham, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shevyll Arvie Siong Tan graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1376720052
  • Provider Enumeration Date: 01/24/2008
  • Last Update Date: 09/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5193897080
  • Enrollment ID: I20180804000151

Medical Identifiers

Medical identifiers for Dr Shevyll Arvie Siong Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376720052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 50459 (Minnesota)Secondary
207R00000XInternal Medicine MD186467 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Mount Hood Medical CenterGresham, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Vancouver Clinic Inc Ps3173436490471
The Vancouver Clinic Inc Ps3173436490471

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 Shevyll Arvie Siong Tan allows following entities to bill medicare on her behalf.
Entity NameThe Vancouver Clinic Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992759427
PECOS PAC ID: 3173436490
Enrollment ID: O20040127001069
Entity NameLegacy Mount Hood Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386919132
PECOS PAC ID: 3173515996
Enrollment ID: O20040401000550

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 Shevyll Arvie Siong Tan 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 AddressPractice Location Address
Dr Shevyll Arvie Siong Tan, MD
Po Box 4365,
Portland, OR 97208-4365

Ph: (503) 413-3900
Dr Shevyll Arvie Siong Tan, MD
24988 Stark. St., Legacy Medical Group Mount Hood, Suite 220 Medical Office Bldg 3,
Gresham, OR 97030

Ph: (952) 583-4791

Reviews and Comments


Internal Medicine Doctors in Gresham, OR

Kathrin Rose Meyers, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-413-8407    Fax: 503-413-6951
Dr. Kathryn L Huyssoon, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030
Phone: 503-674-5818    Fax: 503-674-6709
Dr. Brittany Nicole Kishel, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-413-8407    Fax: 503-413-6951
Amy Katherine Chaumeton, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1580    Fax: 503-674-1581
Aura Theresa Bondoc De Olazo, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030
Phone: 503-674-1580    Fax: 503-674-1581
Dr. Brittney B Mensen, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030
Phone: 503-665-8176    Fax: 503-665-8178
Richard Wayne Craft Sr., MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24900 Se Stark St Ste 202, Gresham, OR 97030
Phone: 503-465-8887    Fax: 503-465-8808

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.