Mallik N Tella, MD - Medicare Orthopaedic Surgery in Portland, OR

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Mallik N Tella, MD is a medicare enrolled "Orthopaedic Surgery" physician in Portland, Oregon. His current practice location is 10123 Se Market St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 257-2500.

Mallik N Tella is licensed to practice in Oregon (license number MD155385) 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 1649380395.

Contact Information

Mallik N Tella, MD
10123 Se Market St,
Portland, OR 97216-2599
(503) 257-2500
Not Available

Map and Direction




Physician's Profile

Full NameMallik N Tella
GenderMale
SpecialityOrthopaedic Surgery
Location10123 Se Market 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: 1649380395
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 10/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153591706
  • Enrollment ID: I20110908002357

Medical Identifiers

Medical identifiers for Mallik N Tella such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649380395NPI-NPPES
500637769MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD155385 (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. Mallik N Tella allows following entities to bill medicare on his behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameGood Shepherd Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789667
PECOS PAC ID: 9133033764
Enrollment ID: O20031118000046
Entity NameMid-columbia Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053409599
PECOS PAC ID: 3779487251
Enrollment ID: O20031209000244
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982774378
PECOS PAC ID: 4587573001
Enrollment ID: O20031215000598
Entity NameSamaritan North Lincoln Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20040120000329
Entity NameSilverton Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304
Entity NameSamaritan North Lincoln Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20061104000117
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1801847066
PECOS PAC ID: 2466353529
Enrollment ID: O20061104000163
Entity NamePeacehealth
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1578552402
PECOS PAC ID: 4587573001
Enrollment ID: O20061104000179
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750091021
PECOS PAC ID: 3274908819
Enrollment ID: O20230412001327

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. Mallik N Tella 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
Mallik N Tella, MD
10123 Se Market St,
Portland, OR 97216-2532

Ph: (503) 257-2500		Mallik N Tella, MD
10123 Se Market St,
Portland, OR 97216-2599

Ph: (503) 257-2500

Reviews and Comments


Orthopaedic Surgery Doctors in Portland, OR

Cory Vernon Carlston, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 10000 Se Main St Ste 250, Portland, OR 97216
Phone: 503-494-6400    Fax: 503-346-6844
Dr. Benjamin F Balme, MD
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Practice Location: 10000 Se Main St, Suite 128, Portland, OR 97216
Phone: 503-261-6961    Fax: 503-261-6959
Muayad Kadhim,
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Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-6400    Fax: 503-494-5050
Dr. Sarah Elizabeth Lindsay, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239
Phone: 503-494-8211    
Dr. Matthew F Halsey, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Department Of Orthopaedics, Op-31, Portland, OR 97239
Phone: 503-494-6400    Fax: 503-494-5050
Travis Campbell Philipp, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3181 S.w. Sam Jackson Park Rd., Oregon Health And Science University, Portland, OR 97239
Phone: 503-494-8311    
Dr. James Lester Baldwin, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5050 Ne Hoyt, #138, Portland, OR 97213
Phone: 503-223-1584    Fax: 503-241-8362

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.