Susan E Omura, MD in Gresham, OR - Medicare Pediatrics

Susan E Omura, MD is a medicare enrolled "Pediatrics" physician in Gresham, Oregon. Her current practice location is 25050 Se Stark St Ste 300, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 667-8878.

Susan E Omura is licensed to practice in Oregon (license number MD23697) 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 1477576239.

Contact Information

	Susan E Omura, MD
	25050 Se Stark St Ste 300, Gresham, OR 97030-3388
	(503) 667-8878
	(503) 667-0310

Map and Direction

Physician's Profile

Full Name	Susan E Omura
Gender	Female
Speciality	Pediatrics
Location	25050 Se Stark St Ste 300, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477576239
Provider Enumeration Date: 07/25/2006
Last Update Date: 04/25/2025

Medicare PECOS Information:

PECOS PAC ID: 1850367731
Enrollment ID: I20200411000879

Medical Identifiers

Medical identifiers for Susan E Omura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477576239	NPI	-	NPPES
286909	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	MD23697 (Oregon)	Secondary
208000000X	Pediatrics	MD23697 (Oregon)	Primary

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. Susan E Omura allows following entities to bill medicare on her behalf.

Entity Name	Northwest Acute Care Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215983200 PECOS PAC ID: 7012807373 Enrollment ID: O20050720000943

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. Susan E Omura 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
Susan E Omura, MD 3454 Ne Hassalo St, Portland, OR 97232-2527 Ph: (503) 490-8155	Susan E Omura, MD 25050 Se Stark St Ste 300, Gresham, OR 97030-3388 Ph: (503) 667-8878

Reviews and Comments

Pediatrics Doctors in Gresham, OR

Nicki Nabavizadeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25050 Se Stark St Ste 300, Gresham, OR 97030 Phone: 503-667-8878
Christina Daragan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 300, Gresham, OR 97030 Phone: 503-667-8878
Dr. Julia W Mason, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24850 Se Stark St, Suite 150, Gresham, OR 97030 Phone: 503-491-0714 Fax: 503-674-2834
Dr. John Anthony Calcagno, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24850 Se Stark St, Ste 150, Gresham, OR 97030 Phone: 503-491-0714 Fax: 503-674-2834
Alexander Herman Lau, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25050 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-667-8878 Fax: 503-667-0310
Mary A Egsieker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24988 Se Stark St, Ste 200, Gresham, OR 97030 Phone: 503-667-8878 Fax: 503-667-0310
Dr. Frank Anthony Calcagno, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24850 Se Stark St, Ste 150, Gresham, OR 97030 Phone: 503-491-0714 Fax: 503-674-2834

Susan E Omura, MD - Medicare Pediatrics in Gresham, OR