Northwest Spine Surgery Llc in Portland, OR - Medicare Orthopaedic Surgery

Northwest Spine Surgery Llc is a medicare enrolled primary clinic (Orthopaedic Surgery - Orthopaedic Surgery Of The Spine) in Portland, Oregon. The current practice location for Northwest Spine Surgery Llc is 10,000 Se Main St St 360, Portland, Oregon. For appointments, you can reach them via phone at (503) 253-4000. The mailing address for Northwest Spine Surgery Llc is 10000 Se Main St Ste 360, Portland, Oregon and phone number is (503) 253-4000.

Northwest Spine Surgery Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1841040292. 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) 253-4000.

Contact Information

	Northwest Spine Surgery Llc
	10,000 Se Main St St 360 Portland OR 97216
	(503) 253-4000
	(503) 253-4002

Map and Direction

Primary Care Clinic Profile

Full Name	Northwest Spine Surgery Llc
Speciality	Orthopaedic Surgery
Location	10,000 Se Main St St 360, Portland, Oregon
Authorized Official Name and Position	Emerald Louise Nelson Flores (CLINIC ADMINISTRATOR)
Authorized Official Contact	9712770559
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Northwest Spine Surgery Llc 10000 Se Main St Ste 360 Portland OR 97216-2474 Ph: (503) 253-4000	Northwest Spine Surgery Llc 10,000 Se Main St St 360 Portland OR 97216 Ph: (503) 253-4000

NPI Details:

NPI Number	1841040292
Provider Enumeration Date	03/26/2024
Last Update Date	07/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4587005921
Medicare Enrollment ID	O20240515004411

Medical Identifiers

Medical identifiers for Northwest Spine Surgery Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841040292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207XS0117X	Orthopaedic Surgery - Orthopaedic Surgery Of The Spine	(* (Not Available))	Primary
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northwest Spine Surgery Llc acts as a billing entity for following providers:

Provider Name	Laurens F Johansen
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1083683247 PECOS PAC ID: 4385792142 Enrollment ID: I20090505000076

Provider Name	Kendrick M Khoo
Provider Type	Practitioner - Orthopedic Surgery
Provider Identifiers	NPI Number: 1891158663 PECOS PAC ID: 0143624684 Enrollment ID: I20220921000317

Provider Name	Serena Eb Liu
Provider Type	Practitioner - Orthopedic Surgery
Provider Identifiers	NPI Number: 1629572284 PECOS PAC ID: 5496006389 Enrollment ID: I20240620003789

Reviews and Comments

Orthopaedic Surgery in Portland, OR

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Northwest Spine Surgery Llc - Medicare Primary Care in Portland, OR