Samuel R Glickman, MD in Gresham, OR - Medicare Pulmonary Disease

Samuel R Glickman, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Gresham, Oregon. He went to Warren Alpert Medical School Of Brown University and graduated in 2009 and has 16 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Scripps Health Inpatient Providers Medical Group Inc, La Jolla Pulmonary And Critical Care Inc and his current practice location is 25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-5702.

Samuel R Glickman is licensed to practice in Oregon (license number MD177588) 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 1912149790.

Contact Information

	Samuel R Glickman, MD
	25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030
	(503) 413-5702
	(503) 413-6499

Map and Direction

Physician's Profile

Full Name	Samuel R Glickman
Gender	Male
Speciality	Pulmonary Disease
Experience	16 Years
Location	25050 Se Stark Street, Gresham, 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 R Glickman attended and graduated from Warren Alpert Medical School Of Brown University in 2009

NPI Data:

NPI Number: 1912149790
Provider Enumeration Date: 03/25/2009
Last Update Date: 08/23/2016

Medicare PECOS Information:

PECOS PAC ID: 9638325186
Enrollment ID: I20190326000651

Medical Identifiers

Medical identifiers for Samuel R Glickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912149790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	MD177588 (Oregon)	Primary
208M00000X	Hospitalist	265576 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Scripps Memorial Hospital La Jolla	La jolla, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scripps Health Inpatient Providers Medical Group Inc	9436314762	173
La Jolla Pulmonary And Critical Care Inc	7911908645	8

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 R Glickman allows following entities to bill medicare on his behalf.

Entity Name	Scripps Health Inpatient Providers Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699043000 PECOS PAC ID: 9436314762 Enrollment ID: O20120711000317

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 R Glickman 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 R Glickman, MD 25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030 Ph: (503) 413-5702	Samuel R Glickman, MD 25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030 Ph: (503) 413-5702

Reviews and Comments

Internal Medicine Doctors in Gresham, OR

Kathrin Rose Meyers, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951
Dr. Kathryn L Huyssoon, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-674-5818 Fax: 503-674-6709
Dr. Brittany Nicole Kishel, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951
Amy Katherine Chaumeton, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581
Aura Theresa Bondoc De Olazo, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581
Dr. Brittney B Mensen, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030 Phone: 503-665-8176 Fax: 503-665-8178
Jennifer Rodriguez, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St, Gresham, OR 97030 Phone: 503-674-1848

Samuel R Glickman, MD - Medicare Pulmonary Disease in Gresham, OR