Omar Mohammed Pandhair, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
9205 Sw Barnes Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 216-2906.
Omar Mohammed Pandhair is licensed to practice in Maryland (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063051811.
Physician's Profile
| Full Name | Omar Mohammed Pandhair |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 4 Years |
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| Location | 9205 Sw Barnes Rd, Portland, Oregon |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Omar Mohammed Pandhair attended and graduated from Oregon Health Sciences University School Of Medicine in 2021
NPI Data:
- NPI Number: 1063051811
- Provider Enumeration Date: 12/26/2019
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830590140
- Enrollment ID: I20240827003918
Medical Identifiers
Medical identifiers for Omar Mohammed Pandhair such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063051811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | MD221189 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Maryland) | Primary |
Medical Facilities Affiliation
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. Omar Mohammed Pandhair allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
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| Entity Name | Providence Health & Services - Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
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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. Omar Mohammed Pandhair 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 |
Omar Mohammed Pandhair, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Omar Mohammed Pandhair, MD 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (503) 216-2906 |
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