Dr Theodore David Pawlik, MD - Medicare Pediatrics in Portland, OR

Dr Theodore David Pawlik, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Portland, Oregon. His current practice location is 501 N Graham St, Suite 265, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 282-7002.

Dr Theodore David Pawlik is licensed to practice in Oregon (license number MD27961) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154483402.

Contact Information

Dr Theodore David Pawlik, MD
501 N Graham St, Suite 265,
Portland, OR 97227-2000
(503) 282-7002
(503) 280-1290

Map and Direction




Physician's Profile

Full NameDr Theodore David Pawlik
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location501 N Graham St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154483402
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 07/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0749455855
  • Enrollment ID: I20111219000240

Medical Identifiers

Medical identifiers for Dr Theodore David Pawlik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154483402NPI-NPPES
218504MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 036103541 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine MD27961 (Oregon)Primary

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 Theodore David Pawlik 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 Theodore David Pawlik, MD
501 N Graham St, Suite 265,
Portland, OR 97227-2000

Ph: (503) 282-7002
Dr Theodore David Pawlik, MD
501 N Graham St, Suite 265,
Portland, OR 97227-2000

Ph: (503) 282-7002

Reviews and Comments


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