Nastaran Neishaboori, - Medicare Pathology in Portland, OR

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Nastaran Neishaboori, is a medicare enrolled "Pathology - Molecular Genetic Pathology" physician in Portland, Oregon. Her current practice location is 4805 Ne Glisan St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 893-7692.

Nastaran Neishaboori is licensed to practice in California (license number A149044) 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 1306264999.

Contact Information

Nastaran Neishaboori,
4805 Ne Glisan St,
Portland, OR 97213-2933
(503) 893-7692
Not Available

Map and Direction




Physician's Profile

Full NameNastaran Neishaboori
GenderFemale
SpecialityPathology - Molecular Genetic Pathology
Location4805 Ne Glisan 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: 1306264999
  • Provider Enumeration Date: 04/01/2014
  • Last Update Date: 02/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6002033446
  • Enrollment ID: I20241017001961

Medical Identifiers

Medical identifiers for Nastaran Neishaboori such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306264999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0007XPathology - Molecular Genetic Pathology MD222287 (Oregon)Secondary
207ZP0007XPathology - Molecular Genetic Pathology A149044 (California)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. Nastaran Neishaboori allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093976243
PECOS PAC ID: 3476450560
Enrollment ID: O20031217000186
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952482275
PECOS PAC ID: 3072415652
Enrollment ID: O20040123000519
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053862714
PECOS PAC ID: 7315856010
Enrollment ID: O20040304001330
Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912282369
PECOS PAC ID: 5294901922
Enrollment ID: O20120319000430

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. Nastaran Neishaboori 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
Nastaran Neishaboori,
1500 Ne 15th Ave Apt 443,
Portland, OR 97232-4418

Ph: (832) 540-0098		Nastaran Neishaboori,
4805 Ne Glisan St,
Portland, OR 97213-2933

Ph: (503) 893-7692

Reviews and Comments


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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.