Thomas Jeffrey Anderson Ii, MD in Gresham, OR

Thomas Jeffrey Anderson Ii, MD is a medicare enrolled "Pediatrics" physician in Gresham, Oregon. His current practice location is 25050 Se Stark St Ste 300, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 667-8878.

Thomas Jeffrey Anderson Ii is licensed to practice in Oregon (license number MD29062) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306047881.

Contact Information

	Thomas Jeffrey Anderson Ii, 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	Thomas Jeffrey Anderson Ii
Gender	Male
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: 1306047881
Provider Enumeration Date: 05/30/2007
Last Update Date: 01/22/2026

Medicare PECOS Information:

PECOS PAC ID: 4880746692
Enrollment ID: I20090708000637

Medical Identifiers

Medical identifiers for Thomas Jeffrey Anderson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306047881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD29062 (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. Thomas Jeffrey Anderson Ii allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Jeffrey Anderson Ii 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 Jeffrey Anderson Ii, MD 200 Sw Market St Ste 1650, Portland, OR 97201-5739 Ph: (503) 466-1668	Thomas Jeffrey Anderson Ii, 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

Thomas Jeffrey Anderson Ii, MD - Medicare Pediatrics in Gresham, OR