Marissa Bonus Luck, MD in Portland, OR - Medicare Obstetrics & Gynecology

Marissa Bonus Luck, MD is a medicare enrolled "Obstetrics & Gynecology - Reproductive Endocrinology" physician in Portland, Oregon. Her current practice location is 808 Sw 15th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 274-4774.

Marissa Bonus Luck is licensed to practice in Oregon (license number MD209009) 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 1215431960.

Contact Information

	Marissa Bonus Luck, MD
	808 Sw 15th Ave, Portland, OR 97205-1907
	(503) 274-4774
	Not Available

Map and Direction

Physician's Profile

Full Name	Marissa Bonus Luck
Gender	Female
Speciality	Obstetrics & Gynecology - Reproductive Endocrinology
Location	808 Sw 15th Ave, 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: 1215431960
Provider Enumeration Date: 03/19/2018
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 3173867884
Enrollment ID: I20220624002504

Medical Identifiers

Medical identifiers for Marissa Bonus Luck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215431960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD209009 (Oregon)	Secondary
207VE0102X	Obstetrics & Gynecology - Reproductive Endocrinology	MD209009 (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. Marissa Bonus Luck allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Marissa Bonus Luck 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
Marissa Bonus Luck, MD 808 Sw 15th Ave, Portland, OR 97205-1907 Ph: (503) 274-4994	Marissa Bonus Luck, MD 808 Sw 15th Ave, Portland, OR 97205-1907 Ph: (503) 274-4774

Reviews and Comments

Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216 Phone: 503-261-4423 Fax: 503-261-4424
John Gilbert Buckmaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4200
Darlene J Dodson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225 Phone: 503-216-3388
Antonio E Frias, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4200 Fax: 503-494-4473
Sig-linda Jacobson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5006 Sw Martha St, Portland, OR 97221 Phone: 503-806-7854
Laila Raad Sillay, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225 Phone: 503-445-0590
Anuradha Devabhaktuni, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 100, Portland, OR 97227 Phone: 503-413-1122

Marissa Bonus Luck, MD - Medicare Obstetrics & Gynecology in Portland, OR