Nicholas Landau Gideonse, MD in Cottage Grove, OR

Nicholas Landau Gideonse, MD is a medicare enrolled "Family Medicine" physician in Cottage Grove, Oregon. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1991 and has 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Blue Mountain Hospital District and his current practice location is 1515 Village Dr, Cottage Grove, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 767-5200.

Nicholas Landau Gideonse is licensed to practice in Oregon (license number MD17811) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639184146.

Contact Information

	Nicholas Landau Gideonse, MD
	1515 Village Dr, Cottage Grove, OR 97424-9700
	(541) 767-5200
	(541) 767-5310

Map and Direction

Physician's Profile

Full Name	Nicholas Landau Gideonse
Gender	Male
Speciality	Family Practice
Experience	34 Years
Location	1515 Village Dr, Cottage Grove, 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.

Medical Education and Training:

Nicholas Landau Gideonse attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1991

NPI Data:

NPI Number: 1639184146
Provider Enumeration Date: 07/31/2006
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8123016276
Enrollment ID: I20040505001499

Medical Identifiers

Medical identifiers for Nicholas Landau Gideonse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639184146	NPI	-	NPPES
063743	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD17811 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred Hospice	Lake oswego, OR	Hospice
Peacehealth Cottage Grove Community Medical Center	Cottage grove, OR	Hospital
Blue Mountain Hospital	John day, OR	Hospital
Sacred Heart Medical Center - Riverbend	Springfield, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Mountain Hospital District	5193719219	21

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. Nicholas Landau Gideonse allows following entities to bill medicare on his behalf.

Entity Name	Blue Mountain Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568536035 PECOS PAC ID: 5193719219 Enrollment ID: O20040412001588

Entity Name	Peacehealth Medical Group Cottage Grove
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333

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. Nicholas Landau Gideonse 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
Nicholas Landau Gideonse, MD 1400 Se Oak St, Portland, OR 97214-1430 Ph: () -	Nicholas Landau Gideonse, MD 1515 Village Dr, Cottage Grove, OR 97424-9700 Ph: (541) 767-5200

Reviews and Comments

Family Medicine Doctors in Cottage Grove, OR

Laura Iniguez, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-942-7000
Dr. James F Harrison, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6614 Fax: 541-942-6696
Judith Dolene Stensland, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-5550
Dr. Paul A Bilder, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 S 17th St, Cottage Grove, OR 97424 Phone: 541-255-0361 Fax: 541-255-0362
Dr. Gerald A Barker, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6614 Fax: 541-942-0353
Dennis Gere Polzin Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36429 Row River Rd, Cottage Grove, OR 97424 Phone: 262-235-2608
Dr. Patrick Sarver, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1445 Gateway Blvd., Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-5550

Nicholas Landau Gideonse, MD - Medicare Family Practice in Cottage Grove, OR