Mary Marcelle Costantino, MD in Portland, OR - Medicare Interventional Radiology

Mary Marcelle Costantino, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Portland, Oregon. She went to University Of California, Geffen School Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Interventional Radiology. She is a member of the group practice Pnw Management Group and her current practice location is 6958 Sw Varns St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 683-7730.

Mary Marcelle Costantino is licensed to practice in Oregon (license number MD26429) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407951171.

Contact Information

	Mary Marcelle Costantino, MD
	6958 Sw Varns St, Portland, OR 97223-0000
	(503) 683-7730
	(503) 914-0927

Map and Direction

Physician's Profile

Full Name	Mary Marcelle Costantino
Gender	Female
Speciality	Interventional Radiology
Experience	25 Years
Location	6958 Sw Varns St, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Marcelle Costantino attended and graduated from University Of California, Geffen School Of Medicine in 2001

NPI Data:

NPI Number: 1407951171
Provider Enumeration Date: 09/14/2006
Last Update Date: 01/26/2022

Medicare PECOS Information:

PECOS PAC ID: 4688670847
Enrollment ID: I20061011000149

Medical Identifiers

Medical identifiers for Mary Marcelle Costantino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407951171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD26429 (Oregon)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD26429 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willamette Valley Medical Center	Mcminnville, OR	Hospital
Adventist Health Portland	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pnw Management Group	3072929884	2

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. Mary Marcelle Costantino allows following entities to bill medicare on her behalf.

Entity Name	Legacy Good Samaritan Hospital And Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416

Entity Name	Pnw Management Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588283154 PECOS PAC ID: 3072929884 Enrollment ID: O20210302002735

Entity Name	Advanced Vascular Centers Eugene Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255091955 PECOS PAC ID: 6901298892 Enrollment ID: O20220127000508

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. Mary Marcelle Costantino 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
Mary Marcelle Costantino, MD 6958 Sw Varns St, Portland, OR 97223-0000 Ph: (503) 683-7730	Mary Marcelle Costantino, MD 6958 Sw Varns St, Portland, OR 97223-0000 Ph: (503) 683-7730

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

Mary Marcelle Costantino, MD - Medicare Interventional Radiology in Portland, OR