Samuel J Fellin, DO in Tigard, OR - Medicare Internal Medicine

Samuel J Fellin, DO is a medicare enrolled "Internal Medicine" physician in Tigard, Oregon. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-9200.

Samuel J Fellin is licensed to practice in Oregon (license number DO16616) 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 1265463996.

Contact Information

	Samuel J Fellin, DO
	12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223-3396
	(503) 216-9200
	(503) 212-6922

Map and Direction

Physician's Profile

Full Name	Samuel J Fellin
Gender	Male
Speciality	Internal Medicine
Experience	35 Years
Location	12442 Sw Scholls Ferry Rd, Tigard, 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:

Samuel J Fellin attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1989

NPI Data:

NPI Number: 1265463996
Provider Enumeration Date: 07/05/2006
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID: 1153452925
Enrollment ID: I20100623000809

Medical Identifiers

Medical identifiers for Samuel J Fellin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265463996	NPI	-	NPPES
110101988	Other	OR	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	DO16616 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nightingale Home Health	Portland, OR	Home health agency
Providence Hospice	Portland, OR	Hospice
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Newberg Medical Center	Newberg, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1328

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. Samuel J Fellin allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

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. Samuel J Fellin 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
Samuel J Fellin, DO Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Samuel J Fellin, DO 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223-3396 Ph: (503) 216-9200

Reviews and Comments

Internal Medicine Doctors in Tigard, OR

Evagelia Baros, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223 Phone: 503-216-9200
Dr. Firas George Khoury, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15895 Sw 72nd Ave Ste 250, Tigard, OR 97224 Phone: 503-624-5630 Fax: 503-624-9149
Poombavai O Nagappan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223 Phone: 503-216-9200 Fax: 503-216-9220
Dr. Sheeten B Doshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161
Aileen Kim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd, Suite 106, Tigard, OR 97223 Phone: 503-216-9200 Fax: 503-216-9220
Dr. Milton Louis Blettel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9900 Sw Hall Blvd, #200, Tigard, OR 97223 Phone: 503-293-1515 Fax: 503-595-3905

Samuel J Fellin, DO - Medicare Internal Medicine in Tigard, OR