Dr Diane Susan Santesson, OD in Portland, OR - Medicare Optometrist Provider

Dr Diane Susan Santesson, OD is a medicare enrolled "Optometrist" provider in Portland, Oregon. Her current practice location is 1040 Nw 22nd Ave, Ste. 168, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 413-7022.

Dr Diane Susan Santesson is licensed to practice in Oregon (license number 3256T) 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 1457448797.

Contact Information

	Dr Diane Susan Santesson, OD
	1040 Nw 22nd Ave, Ste. 168, Portland, OR 97210-3057
	(503) 413-7022
	(503) 413-7066

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Diane Susan Santesson
Gender	Female
Speciality	Optometrist
Location	1040 Nw 22nd Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457448797
Provider Enumeration Date: 10/06/2006
Last Update Date: 08/13/2008

Medicare PECOS Information:

PECOS PAC ID: 4082655170
Enrollment ID: I20080730000455

Medical Identifiers

Medical identifiers for Dr Diane Susan Santesson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457448797	NPI	-	NPPES
1145	Other	HI	UHA (380 HUKU LII, #107)
0000213205	Other	HI	HMSA (380 HUKU LII, #107)
087295-01	Medicaid	HI
0000213207	Other	HI	HMSA (KAISER ADDRESS)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD-472 (Hawaii)	Secondary
152W00000X	Optometrist	3256T (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 Diane Susan Santesson allows following entities to bill medicare on her 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

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 Diane Susan Santesson 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 Diane Susan Santesson, OD 1040 Nw 22nd Ave, Ste. 168, Portland, OR 97210-3057 Ph: (503) 413-7022	Dr Diane Susan Santesson, OD 1040 Nw 22nd Ave, Ste. 168, Portland, OR 97210-3057 Ph: (503) 413-7022

Reviews and Comments

Optometrist in Portland, OR

Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788
Eyedentity Vision Center P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2609 Se Clinton St, Portland, OR 97202 Phone: 503-238-1139 Fax: 503-235-6574
On Sight Optical, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Ne Martin Luther King Jr Blvd, Portland, OR 97211 Phone: 503-228-2154 Fax: 503-228-4694
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482

Dr Diane Susan Santesson, OD - Medicare Optometrist in Portland, OR