Elizabeth Rachel Super, MD - Medicare Pediatrics in Portland, OR

Elizabeth Rachel Super, MD is a medicare enrolled "Pediatrics - Sleep Medicine" physician in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Dc10s, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-8311.

Elizabeth Rachel Super is licensed to practice in Oregon (license number MD28247) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326258773.

Contact Information

Elizabeth Rachel Super, MD
3181 Sw Sam Jackson Park Rd, Dc10s,
Portland, OR 97239-3011
(503) 494-8311
Not Available

Map and Direction




Physician's Profile

Full NameElizabeth Rachel Super
GenderFemale
SpecialityPediatrics - Sleep Medicine
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326258773
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 09/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0244371284
  • Enrollment ID: I20100112000839

Medical Identifiers

Medical identifiers for Elizabeth Rachel Super such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326258773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080S0012XPediatrics - Sleep Medicine MD28247 (Oregon)Primary
208000000XPediatrics MD60151864 (Washington)Secondary

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. Elizabeth Rachel Super allows following entities to bill medicare on her behalf.
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

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. Elizabeth Rachel Super 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
Elizabeth Rachel Super, MD
3181 Sw Sam Jackson Park Rd, Dc10s,
Portland, OR 97239-3011

Ph: (503) 494-8311
Elizabeth Rachel Super, MD
3181 Sw Sam Jackson Park Rd, Dc10s,
Portland, OR 97239-3011

Ph: (503) 494-8311

Reviews and Comments


Pediatrics Doctors in Portland, OR

Dr. Sharon Sarah Green Gorini, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239
Phone: 503-418-5170    
Megan Furnari, M.D., M.S.
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Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
Phone: 503-494-8211    
Bruce Alan Boston, MD
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Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-1926    
Dr. Karin Ann Selva, MD
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Medicare: Medicare Enrolled
Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227
Phone: 503-413-1600    
Dr. Peter H Chang, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 300 N Graham St Ste 250, Portland, OR 97227
Phone: 503-280-3418    Fax: 503-284-7885
George W Bengtson, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 4212 Ne Broadway St, Portland, OR 97213
Phone: 503-249-8787    
Dr. Amanda K Blockinger Bailey, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217
Phone: 503-595-9300    

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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.

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