Nicholas Phillips, MD - Medicare Sports Medicine in Corvallis, OR

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Nicholas Phillips, MD is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Corvallis, Oregon. He went to West Virginia University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Good Samaritan Hospital Corvallis and his current practice location is 845 Sw 30th St, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 768-7700.

Nicholas Phillips is licensed to practice in Oregon (license number MD169780) 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 1770803892.

Contact Information

Nicholas Phillips, MD
845 Sw 30th St,
Corvallis, OR 97331-8629
(541) 768-7700
Not Available

Map and Direction




Physician's Profile

Full NameNicholas Phillips
GenderMale
SpecialitySports Medicine
Experience14 Years
Location845 Sw 30th St, Corvallis, Oregon
Accepts Medicare AssignmentsYes. 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 Phillips attended and graduated from West Virginia University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1770803892
  • Provider Enumeration Date: 06/11/2010
  • Last Update Date: 01/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729233630
  • Enrollment ID: I20150108000265

Medical Identifiers

Medical identifiers for Nicholas Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770803892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD169780 (Oregon)Secondary
207PS0010XEmergency Medicine - Sports Medicine MD169780 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan Pacific Community HospitalNewport, ORHospital
Samaritan Albany General HospitalAlbany, ORHospital
Good Samaritan Regional Medical CenterCorvallis, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Hospital Corvallis1557270725339

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 Phillips allows following entities to bill medicare on his behalf.
Entity NameMid-valley Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20031111000297
Entity NameGood Samaritan Hospital Corvallis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962453134
PECOS PAC ID: 1557270725
Enrollment ID: O20031125000163
Entity NameSamaritan North Lincoln Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20040120000329
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304
Entity NameAlbany General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154372340
PECOS PAC ID: 9931097987
Enrollment ID: O20040310000310

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 Phillips 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
Nicholas Phillips, MD
Po Box 1189,
Corvallis, OR 97339-1189

Ph: () -		Nicholas Phillips, MD
845 Sw 30th St,
Corvallis, OR 97331-8629

Ph: (541) 768-7700

Reviews and Comments


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