Nicholas Landau Gideonse, MD in Portland, OR

Nicholas Landau Gideonse, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Oregon Health And Science University, Oregon Health And Sciences University/university Medical Group, Blue Mountain Hospital District and his current practice location is 3930 Se Division St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 418-3900.

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
	3930 Se Division St, Portland, OR 97202-1643
	(503) 418-3900
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicholas Landau Gideonse
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	3930 Se Division St, Portland, 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: 07/08/2007

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
Kindred Hospice	Salem, OR	Hospice
Ohsu Hospital And Clinics	Portland, OR	Hospital
Blue Mountain Hospital	John day, OR	Hospital
Adventist Health Portland	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Health And Science University	1759328842	79
Oregon Health And Sciences University/university Medical Group	4880760107	1485
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	Oregon Health & Science University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417969304 PECOS PAC ID: 1759328842 Enrollment ID: O20050516000173

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. 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 3930 Se Division St, Portland, OR 97202-1643 Ph: (503) 418-3900

Reviews and Comments

Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779

Nicholas Landau Gideonse, MD - Medicare Family Practice in Portland, OR