Mark E Engelstad, MD, DDS in Portland, OR - Medicare Maxillofacial Surgery Provider

Mark E Engelstad, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Portland, Oregon. He went to University Of Louisville School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Oregon Health And Sciences University/university Medical Group and 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) 494-8914.

Mark E Engelstad is licensed to practice in Oregon (license number MD153490) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437102746.

Contact Information

	Mark E Engelstad, MD, DDS
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-8914
	(503) 494-0294

Map and Direction

Healthcare Provider's Profile

Full Name	Mark E Engelstad
Gender	Male
Speciality	Maxillofacial Surgery
Experience	27 Years
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark E Engelstad attended and graduated from University Of Louisville School Of Medicine in 1997

NPI Data:

NPI Number: 1437102746
Provider Enumeration Date: 05/18/2006
Last Update Date: 10/10/2017

Medicare PECOS Information:

PECOS PAC ID: 8426069410
Enrollment ID: I20110221000629

Medical Identifiers

Medical identifiers for Mark E Engelstad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437102746	NPI	-	NPPES
357147500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DF0023 (Oregon)	Secondary
204E00000X	Oral & Maxillofacial Surgery	MD153490 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohsu Hospital And Clinics	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Health And Sciences University/university Medical Group	4880760107	1479

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. Mark E Engelstad allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Mark E Engelstad 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
Mark E Engelstad, MD, DDS 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8914	Mark E Engelstad, MD, DDS 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8914

Mark E Engelstad, MD, DDS - Medicare in Portland, OR