Dr Theodore Robert Lillie, DC in Portland, OR - Medicare Chiropractor Provider

Dr Theodore Robert Lillie, DC is a medicare enrolled "Chiropractor" provider in Portland, Oregon. His current practice location is 2106 Ne 47th Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 282-7581.

Dr Theodore Robert Lillie is licensed to practice in Oregon (license number 5123) 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 1053650531.

Contact Information

	Dr Theodore Robert Lillie, DC
	2106 Ne 47th Ave, Portland, OR 97213-2064
	(503) 282-7581
	(503) 269-5622

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Theodore Robert Lillie
Gender	Male
Speciality	Chiropractor
Location	2106 Ne 47th Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053650531
Provider Enumeration Date: 02/04/2013
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6002283264
Enrollment ID: I20221101003278

Medical Identifiers

Medical identifiers for Dr Theodore Robert Lillie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053650531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	5605 (Minnesota)	Secondary
111N00000X	Chiropractor	5123 (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. Dr Theodore Robert Lillie allows following entities to bill medicare on his behalf.

Provider Name	Portland Spine Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649682022 PECOS PAC ID: 5193192359 Enrollment ID: O20221101003233

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. Dr Theodore Robert Lillie 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
Dr Theodore Robert Lillie, DC 2106 Ne 47th Ave, Portland, OR 97213-2064 Ph: (503) 282-7581	Dr Theodore Robert Lillie, DC 2106 Ne 47th Ave, Portland, OR 97213-2064 Ph: (503) 282-7581

Reviews and Comments

Chiropractor in Portland, OR

Dorian D Quinn, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6230 Ne Halsey St, Portland, OR 97213 Phone: 503-236-8697 Fax: 503-236-8697
Dr. Daniel Antonio Lujan, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4425 Sw Corbett Ave, Portland, OR 97239 Phone: 503-225-9033 Fax: 503-225-9039
Beaumont Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4211 Ne Fremont St, Portland, OR 97213 Phone: 503-287-6666 Fax: 503-287-1390
Caressa Gullikson, Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 Ne 20th Ave Ste 20, Portland, OR 97232 Phone: 974-229-1384
Dr. Dylan Savage, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1030 Nw Marshall St, Portland, OR 97209 Phone: 503-227-2279
Active Injury Rehab, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5253 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-766-4881
Dr. Marelle O'meara, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 121 Sw Morrison St, Suite 905, Portland, OR 97204 Phone: 503-222-7304 Fax: 503-227-8210

Dr Theodore Robert Lillie, DC - Medicare Chiropractor in Portland, OR