| Sandip Biswas, | |
|
24800 Se Stark St, Gresham, OR 97030-3378 | |
| (503) 674-1122 | |
| Not Available |
| Full Name | Sandip Biswas |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 24800 Se Stark St, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760917520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 72642-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandip Biswas, 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 674-1122 | Sandip Biswas, 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 674-1122 |
Dr. Gordon Johnson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Gresham, OR 97030 Phone: 503-331-2376 | |
Dr. Deborah A Alexander, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Dr. Long Earon Thao, D.O Hospitalist Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 |