Dr Benjamin Pon, OD in Clackamas, OR - Medicare Optometrist Provider

Dr Benjamin Pon, OD is a medicare enrolled "Optometrist" provider in Clackamas, Oregon. His current practice location is 12100 Se Stevens Ct, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (800) 813-2000.

Dr Benjamin Pon is licensed to practice in Oregon (license number 4479) 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 1851944656.

Contact Information

	Dr Benjamin Pon, OD
	12100 Se Stevens Ct, Clackamas, OR 97086-4707
	(800) 813-2000
	(855) 524-5255

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Benjamin Pon
Gender	Male
Speciality	Optometrist
Location	12100 Se Stevens Ct, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851944656
Provider Enumeration Date: 07/20/2019
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3779917539
Enrollment ID: I20200102002481

Medical Identifiers

Medical identifiers for Dr Benjamin Pon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851944656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4479 (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. Dr Benjamin Pon allows following entities to bill medicare on his behalf.

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

Provider Name	Pacific Eye Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831656925 PECOS PAC ID: 1355682246 Enrollment ID: O20190402001264

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. Dr Benjamin Pon 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
Dr Benjamin Pon, OD 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000	Dr Benjamin Pon, OD 12100 Se Stevens Ct, Clackamas, OR 97086-4707 Ph: (800) 813-2000

Reviews and Comments

Optometrist in Clackamas, OR

Dr. Julia Sirianni, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Jonathan Jay Attiyah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Rachel A Jorgensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321
John William Reski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Mark Edward Mclain, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Suite 106, Clackamas, OR 97086 Phone: 503-353-7269
Bruce Robert Wojciechowski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066
Sydney Kapp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321

Dr Benjamin Pon, OD - Medicare Optometrist in Clackamas, OR