Shoshana Maxwell, DO - Medicare Family Medicine in Portland, OR

Shoshana Maxwell, DO is a medicare enrolled "Family Medicine" physician in Portland, Oregon. Her current practice location is 12360 E Burnside St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 279-4800.

Shoshana Maxwell is licensed to practice in Oregon (license number DO193262) 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 1669820080.

Contact Information

Shoshana Maxwell, DO
12360 E Burnside St,
Portland, OR 97233-1042
(971) 279-4800
(971) 279-2051

Map and Direction




Physician's Profile

Full NameShoshana Maxwell
GenderFemale
SpecialityFamily Medicine
Location12360 E Burnside St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669820080
  • Provider Enumeration Date: 05/26/2016
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840586012
  • Enrollment ID: I20190930001017

Medical Identifiers

Medical identifiers for Shoshana Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669820080NPI-NPPES
2061406MedicaidWA
500767655MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OP60946753 (Washington)Secondary
207Q00000XFamily Medicine DO193262 (Oregon)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. Shoshana Maxwell 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 AddressPractice Location Address
Shoshana Maxwell, DO
1776 Sw Madison St,
Portland, OR 97205-1715

Ph: (503) 224-1044
Shoshana Maxwell, DO
12360 E Burnside St,
Portland, OR 97233-1042

Ph: (971) 279-4800

Reviews and Comments


Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D.
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Dr. Timothy P Janzen, M.D.
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Alison Mitchell, MD
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Dr. Steven Colin Jackson, MD
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Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204
Phone: 503-988-3674    Fax: 503-988-5779

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.