Travis James Widman, MD in Clackamas, OR

Travis James Widman, MD is a medicare enrolled "Dermatology" physician in Clackamas, Oregon. He went to University Of Washington School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 9900 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 571-3332.

Travis James Widman is licensed to practice in Oregon (license number LL16231) 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 1700928397.

Contact Information

	Travis James Widman, MD
	9900 Se Sunnyside Rd, Clackamas, OR 97015-9777
	(503) 571-3332
	Not Available

Map and Direction

Physician's Profile

Full Name	Travis James Widman
Gender	Male
Speciality	Dermatology
Experience	21 Years
Location	9900 Se Sunnyside Rd, Clackamas, 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.

Medical Education and Training:

Travis James Widman attended and graduated from University Of Washington School Of Medicine in 2003

NPI Data:

NPI Number: 1700928397
Provider Enumeration Date: 02/12/2007
Last Update Date: 12/23/2010

Medicare PECOS Information:

PECOS PAC ID: 4183707755
Enrollment ID: I20080206000332

Medical Identifiers

Medical identifiers for Travis James Widman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700928397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	LL16231 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Northwest	5799688230	1482

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. Travis James Widman 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. Travis James Widman 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
Travis James Widman, MD 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 Ph: (503) 571-3332	Travis James Widman, MD 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 Ph: (503) 571-3332

Reviews and Comments

Dermatology Doctors in Clackamas, OR

Jo M Martin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Nw Permanente Pc, Physicians And Surgeons, Clackamas, OR 97015 Phone: 503-571-3332
Peter E Goodkin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Road, Suite 500, Clackamas, OR 97015 Phone: 503-654-7546 Fax: 503-786-3542
Matthew G Basco, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-571-8490
Dr. Zachary G Pena, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015 Phone: 503-962-1840
Mary Clare Bohnett, MD Dermatology Medicare: Medicare Enrolled Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015 Phone: 503-962-1840
Kenneth Myungdei Kang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-0000

Travis James Widman, MD - Medicare Dermatology in Clackamas, OR