Cassandra Bree Tomczak, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Tualatin, Oregon. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Legacy Clinics Llc and her current practice location is
19250 Sw 65th Ave Ste 200, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 413-2005.
Cassandra Bree Tomczak is licensed to practice in Oregon (license number DP164497) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689991804.
Healthcare Provider's Profile
| Full Name | Cassandra Bree Tomczak |
|---|
| Gender | Female |
|---|
| Speciality | Podiatry |
|---|
| Experience | 14 Years |
|---|
| Location | 19250 Sw 65th Ave Ste 200, Tualatin, Oregon |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Cassandra Bree Tomczak graduated from medical school in 2010
NPI Data:
- NPI Number: 1689991804
- Provider Enumeration Date: 04/27/2010
- Last Update Date: 12/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951538438
- Enrollment ID: I20131206001059
Medical Identifiers
Medical identifiers for Cassandra Bree Tomczak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689991804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | DP164497 (Oregon) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP164497 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Clinics Llc | 0244144004 | 603 |
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. Cassandra Bree Tomczak allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Clinics Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089 |
|---|
| Provider Name | Legacy Emanuel Hospital & Health Center |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1831112358
PECOS PAC ID: 4587573639
Enrollment ID: O20040127001204 |
|---|
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. Cassandra Bree Tomczak 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 |
|---|
Cassandra Bree Tomczak, DPM
Po Box 3777,
Portland, OR 97208-3777
Ph: (503) 413-3900 | Cassandra Bree Tomczak, DPM
19250 Sw 65th Ave Ste 200,
Tualatin, OR 97062
Ph: (503) 413-2005 |
Reviews and Comments