Edward Theodore Ysunza Iv, - Medicare Podiatrist in Portland, OR

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Edward Theodore Ysunza Iv, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Portland, Oregon. His current practice location is 3710 Sw Us Veterans Hospital Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 220-8262.

Edward Theodore Ysunza Iv is licensed to practice in Oregon (license number DP170018) 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 1083904015.

Contact Information

Edward Theodore Ysunza Iv,
3710 Sw Us Veterans Hospital Rd,
Portland, OR 97239-2964
(503) 220-8262
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEdward Theodore Ysunza Iv
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location3710 Sw Us Veterans Hospital Rd, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083904015
  • Provider Enumeration Date: 04/11/2011
  • Last Update Date: 03/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6608196019
  • Enrollment ID: I20150527001349

Medical Identifiers

Medical identifiers for Edward Theodore Ysunza Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083904015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery DP170018 (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. Edward Theodore Ysunza Iv allows following entities to bill medicare on his behalf.
Provider NameLegacy Good Samaritan Hospital And Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780608216
PECOS PAC ID: 0547179939
Enrollment ID: O20031125000416
Provider NameLegacy Emanuel Hospital & Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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. Edward Theodore Ysunza Iv 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 AddressPractice Location Address
Edward Theodore Ysunza Iv,
21540 Nw Franson Way # 2201,
Hillsboro, OR 97006-6076

Ph: (503) 858-4641		Edward Theodore Ysunza Iv,
3710 Sw Us Veterans Hospital Rd,
Portland, OR 97239-2964

Ph: (503) 220-8262

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.