Thomas Edgar, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Providence Health And Services - Washington and his current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 494-8211.
Thomas Edgar is licensed to practice in Oregon (license number PG230170) 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 1942794193.
Physician's Profile
| Full Name | Thomas Edgar |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 10 Years |
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| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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| 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:
- Thomas Edgar graduated from medical school in 2016
NPI Data:
- NPI Number: 1942794193
- Provider Enumeration Date: 06/20/2018
- Last Update Date: 06/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 3173872744
- Enrollment ID: I20210805003126
Medical Identifiers
Medical identifiers for Thomas Edgar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942794193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 125.071590 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | PG230170 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Providence Health And Services - Washington | 2860552973 | 275 |
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. Thomas Edgar allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services - Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
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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. Thomas Edgar 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 |
Thomas Edgar, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: (503) 494-8211 | Thomas Edgar, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: (503) 494-8211 |
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