Emery Charles Douville, MD in Portland, OR - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Emery Charles Douville, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Portland, Oregon. His current practice location is 5050 Ne Hoyt St, Suite 511, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 962-1020.

Emery Charles Douville is licensed to practice in Oregon (license number MD17068) 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 1306848098.

Contact Information

	Emery Charles Douville, MD
	5050 Ne Hoyt St, Suite 511, Portland, OR 97213-2984
	(503) 962-1020
	(503) 962-1021

Map and Direction

Physician's Profile

Full Name	Emery Charles Douville
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	5050 Ne Hoyt St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306848098
Provider Enumeration Date: 08/11/2005
Last Update Date: 06/04/2021

Medicare PECOS Information:

PECOS PAC ID: 3375441876
Enrollment ID: I20040712000608

Medical Identifiers

Medical identifiers for Emery Charles Douville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306848098	NPI	-	NPPES
026497	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD00029081 (Washington)	Secondary
208600000X	Surgery	MD17068 (Oregon)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	MD17068 (Oregon)	Primary

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. Emery Charles Douville 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

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. Emery Charles Douville 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
Emery Charles Douville, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Emery Charles Douville, MD 5050 Ne Hoyt St, Suite 511, Portland, OR 97213-2984 Ph: (503) 962-1020

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Portland, OR

Eric Blaine Kirker, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd Ste 593, Portland, OR 97225 Phone: 503-216-8670
Thomas Alexis Molloy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 253-272-7777 Fax: 253-426-4142
Albert Henry Krause, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210 Phone: 503-226-6321 Fax: 503-227-3422
Mithran Suresh Sukumar, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820
Dr. Frederick Anthony Tibayan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code: L353, Portland, OR 97239 Phone: 503-494-7820
Dr. Kai Erik Engstad, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210 Phone: 503-226-6321 Fax: 503-227-3422
Dr. Brandon H Tieu, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, L353, Portland, OR 97239 Phone: 503-494-7820

Emery Charles Douville, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portland, OR