Rosa Jaime Carbonell, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. Her current practice location is
3181 Sw Sam Jackson Park Rd # L-579, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-8211.
Rosa Jaime Carbonell is licensed to practice in * (Not Available) (license number ) 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 1689178766.
Physician's Profile
| Full Name | Rosa Jaime Carbonell |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3181 Sw Sam Jackson Park Rd # L-579, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689178766
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 11/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244581312
- Enrollment ID: I20180928002203
Medical Identifiers
Medical identifiers for Rosa Jaime Carbonell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689178766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | MD211258 (Oregon) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | MD70000455 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Rosa Jaime Carbonell 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 |
Rosa Jaime Carbonell, MD 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3098 Ph: (503) 494-8211 | Rosa Jaime Carbonell, MD 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3098 Ph: (503) 494-8211 |
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