| Joel Roberson, MD | |
|
2801 N Gantenbein Ave, Portland, OR 97227-1623 | |
| (503) 575-2521 | |
| (503) 389-7997 |
| Full Name | Joel Roberson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 2801 N Gantenbein Ave, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134566300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301103073 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD198630 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Adventist Health Tillamook | Tillamook, OR | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ts Radiology Billings Llc | 0840221230 | 9 |
| Pacific Imaging Associates Llc | 3577923499 | 44 |
| Northwest Medical Foundation Of Tillamook | 5092619569 | 63 |
| Entity Name | Northwest Medical Foundation Of Tillamook |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
| Entity Name | Radiology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023050457 PECOS PAC ID: 8628063450 Enrollment ID: O20040420000040 |
| Entity Name | Ts Radiology Billings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669413514 PECOS PAC ID: 0840221230 Enrollment ID: O20050825000446 |
| Entity Name | Pacific Imaging Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265137574 PECOS PAC ID: 3577923499 Enrollment ID: O20230829002458 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Roberson, MD Po Box 10768, Portland, OR 97296-0768 Ph: (503) 575-2521 | Joel Roberson, MD 2801 N Gantenbein Ave, Portland, OR 97227-1623 Ph: (503) 575-2521 |
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 |