Northwest Extremity Specialists Llc - Medicare Podiatrist in Portland, OR

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Northwest Extremity Specialists Llc is a medicare enrolled "Podiatrist" provider in Portland, Oregon. Their current practice location is 9115 Sw Oleson Rd Ste 205, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at (503) 245-2420.

Northwest Extremity Specialists Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northwest Extremity Specialists Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295126241.

Contact Information

Northwest Extremity Specialists Llc
9115 Sw Oleson Rd Ste 205,
Portland, OR 97223-6877
(503) 245-2420
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNorthwest Extremity Specialists Llc
TypeFacility
SpecialityPodiatrist
Location9115 Sw Oleson Rd Ste 205, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295126241
  • Provider Enumeration Date: 02/12/2015
  • Last Update Date: 02/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577881747
  • Enrollment ID: O20150420000860

Medical Identifiers

Medical identifiers for Northwest Extremity Specialists Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295126241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northwest Extremity Specialists Llc acts as a billing entity for following providers:
Provider NameThomas C Melillo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619085479
PECOS PAC ID: 8729071741
Enrollment ID: I20040414000811
Provider NameJason R Surratt
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1649386541
PECOS PAC ID: 9537152558
Enrollment ID: I20040414000841
Provider NameMichael V Mesa
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1184744351
PECOS PAC ID: 7810958956
Enrollment ID: I20041025000507
Provider NameYama A Dehqanzada
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1154338275
PECOS PAC ID: 5698727568
Enrollment ID: I20050218000601
Provider NameMargaret B Loebner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700875275
PECOS PAC ID: 5193742781
Enrollment ID: I20051102000509
Provider NameRonald R Bowman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1902849771
PECOS PAC ID: 2668490939
Enrollment ID: I20051107000392
Provider NameClifford D Mah
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1962454934
PECOS PAC ID: 8820091754
Enrollment ID: I20060816000043
Provider NameBrian T Horak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972590735
PECOS PAC ID: 6406901974
Enrollment ID: I20090904000341
Provider NameManny Moy
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1639162795
PECOS PAC ID: 4587700885
Enrollment ID: I20090929000642
Provider NameStephen Fekete
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1356452247
PECOS PAC ID: 1951565324
Enrollment ID: I20120614000682
Provider NameTodd L Galle
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1629048533
PECOS PAC ID: 8820281975
Enrollment ID: I20130912000350
Provider NameTimothy R Dominick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356342661
PECOS PAC ID: 4082663430
Enrollment ID: I20140313002076
Provider NameDenny V Le
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1285977470
PECOS PAC ID: 6608173802
Enrollment ID: I20160824000558
Provider NameMia Horvath
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1083840318
PECOS PAC ID: 8022267020
Enrollment ID: I20160907000633
Provider NamePeter D Pham
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1568877264
PECOS PAC ID: 8820350028
Enrollment ID: I20180328002281
Provider NameLacey Beth Lockhart
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1497149454
PECOS PAC ID: 4981997194
Enrollment ID: I20191127002492
Provider NameCara Marie Beach
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619338829
PECOS PAC ID: 5597098103
Enrollment ID: I20200831003040
Provider NameAlexandria Mcniven
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457927626
PECOS PAC ID: 2567865066
Enrollment ID: I20210721001985
Provider NameChad Smurthwaite
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386391852
PECOS PAC ID: 7911394143
Enrollment ID: I20220418002046
Provider NameTaylor Jacqueline Bunka
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1083119333
PECOS PAC ID: 5597154898
Enrollment ID: I20220719003068
Provider NameMelinda Sue Nicholes
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1699330803
PECOS PAC ID: 2668856238
Enrollment ID: I20220831000575
Provider NameVincent A. Gonsalves
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285808303
PECOS PAC ID: 8224409479
Enrollment ID: I20230125003090

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. Northwest Extremity Specialists Llc 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
Northwest Extremity Specialists Llc
9115 Sw Oleson Rd Ste 205,
Portland, OR 97223-6877

Ph: (503) 245-2420		Northwest Extremity Specialists Llc
9115 Sw Oleson Rd Ste 205,
Portland, OR 97223-6877

Ph: (503) 245-2420

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.