Hawthorne Family Medicine - Medicare Primary Care in Portland, OR

Hawthorne Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Portland, Oregon. The current practice location for Hawthorne Family Medicine is 2306 Se 39th Ave, Portland, Oregon. For appointments, you can reach them via phone at (503) 963-9181. The mailing address for Hawthorne Family Medicine is 2306 Se 39th Ave, Portland, Oregon and phone number is (503) 963-9181.

Hawthorne Family Medicine is licensed to practice in Oregon (license number DO20625). The clinic also participates in the medicare program and its NPI number is 1467601096. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 963-9181.

Contact Information

Hawthorne Family Medicine
2306 Se 39th Ave
Portland
OR 97214-5918
(503) 963-9181
(503) 963-9182

Map and Direction


Primary Care Clinic Profile

Full NameHawthorne Family Medicine
SpecialityFamily Medicine
Location2306 Se 39th Ave, Portland, Oregon
Authorized Official Name and PositionBryan Dean Walls (PHYSICIAN)
Authorized Official Contact5039639181
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hawthorne Family Medicine
2306 Se 39th Ave
Portland
OR 97214-5918

Ph: (503) 963-9181
Hawthorne Family Medicine
2306 Se 39th Ave
Portland
OR 97214-5918

Ph: (503) 963-9181

NPI Details:

NPI Number1467601096
Provider Enumeration Date09/18/2008
Last Update Date09/18/2008

Medicare PECOS Information:

Medicare PECOS PAC ID9537222526
Medicare Enrollment IDO20090119000045

Medical Identifiers

Medical identifiers for Hawthorne Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467601096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO20625 (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. Hawthorne Family Medicine acts as a billing entity for following providers:
Provider NameBryan D Walls
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710982129
PECOS PAC ID: 7719040708
Enrollment ID: I20090119000042

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.