Jason Michael Polder, MD in Portland, OR - Medicare Interventional Radiology

Jason Michael Polder, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Portland, Oregon. He went to Ohio State University College Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Bridgeport Medical Imaging, Llc, Trg, Llc, Center For Medical Imaging Llc and his current practice location is 9205 Sw Barnes Rd Ste 150, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-4830.

Jason Michael Polder is licensed to practice in Oregon (license number 219506) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144751470.

Contact Information

	Jason Michael Polder, MD
	9205 Sw Barnes Rd Ste 150, Portland, OR 97225-6603
	(503) 216-4830
	(503) 216-4850

Map and Direction

Physician's Profile

Full Name	Jason Michael Polder
Gender	Male
Speciality	Interventional Radiology
Experience	8 Years
Location	9205 Sw Barnes Rd Ste 150, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason Michael Polder attended and graduated from Ohio State University College Of Medicine in 2017

NPI Data:

NPI Number: 1144751470
Provider Enumeration Date: 03/27/2017
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6709156995
Enrollment ID: I20240902000059

Medical Identifiers

Medical identifiers for Jason Michael Polder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144751470	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	219503 (Oregon)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	219506 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Seaside Hospital	Seaside, OR	Hospital
Providence Newberg Medical Center	Newberg, OR	Hospital
Providence Hood River Memorial Hospital	Hood river, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bridgeport Medical Imaging, Llc	3173670411	28
Trg, Llc	8820283617	33
Center For Medical Imaging Llc	9335191543	27

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. Jason Michael Polder allows following entities to bill medicare on his behalf.

Entity Name	Center For Medical Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275505448 PECOS PAC ID: 9335191543 Enrollment ID: O20050216000427

Entity Name	Bridgeport Medical Imaging, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922253525 PECOS PAC ID: 3173670411 Enrollment ID: O20090402000485

Entity Name	Trg, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467771121 PECOS PAC ID: 8820283617 Enrollment ID: O20101105000754

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. Jason Michael Polder 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
Jason Michael Polder, MD Po Box 25180, Portland, OR 97298-0180 Ph: (503) 797-6356	Jason Michael Polder, MD 9205 Sw Barnes Rd Ste 150, Portland, OR 97225-6603 Ph: (503) 216-4830

Reviews and Comments

Radiology Doctors in Portland, OR

Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Steven Lloyd Primack, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990

Jason Michael Polder, MD - Medicare Interventional Radiology in Portland, OR