Dr Michael Danger Whitcomb, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Portland, Oregon. His current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 494-8916.
Dr Michael Danger Whitcomb is licensed to practice in Oregon (license number PG199590) 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 1164937769.
Healthcare Provider's Profile
Full Name | Dr Michael Danger Whitcomb |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164937769
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 07/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921332214
- Enrollment ID: I20240126001784
Medical Identifiers
Medical identifiers for Dr Michael Danger Whitcomb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164937769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D10744 (Oregon) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | PG199590 (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 Michael Danger Whitcomb allows following entities to bill medicare on his behalf.
Entity Name | Hunter Spingola Buchmann & Brown Partnership |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477749877 PECOS PAC ID: 3173605276 Enrollment ID: O20080129000180 |
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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 Michael Danger Whitcomb 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 Michael Danger Whitcomb, DMD, MD 1161 Nw Overton St Apt 214, Portland, OR 97209-2693 Ph: () - | Dr Michael Danger Whitcomb, DMD, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8916 |
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