Andrea Gough-goldman, MD - Medicare Family Medicine in Portland, OR

  1. Home
  2. Family Medicine
  3. OR
  4. Portland
Andrea Gough-goldman, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Portland, Oregon. Her current practice location is 3580 Se 82nd Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 339-9240.

Andrea Gough-goldman is licensed to practice in Oregon (license number MD172073) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013273861.

Contact Information

Andrea Gough-goldman, MD
3580 Se 82nd Ave,
Portland, OR 97266-2902
(971) 339-9240
Not Available

Map and Direction




Physician's Profile

Full NameAndrea Gough-goldman
GenderFemale
SpecialityFamily Medicine - Addiction Medicine
Location3580 Se 82nd Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013273861
  • Provider Enumeration Date: 04/05/2012
  • Last Update Date: 02/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416254420
  • Enrollment ID: I20160317002392

Medical Identifiers

Medical identifiers for Andrea Gough-goldman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013273861NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine MD172073 (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. Andrea Gough-goldman allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799
Entity NameCoda Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437213865
PECOS PAC ID: 4082886908
Enrollment ID: O20111018000517

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. Andrea Gough-goldman 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 AddressPractice Location Address
Andrea Gough-goldman, MD
3580 Se 82nd Ave,
Portland, OR 97266-2902

Ph: (719) 339-9240		Andrea Gough-goldman, MD
3580 Se 82nd Ave,
Portland, OR 97266-2902

Ph: (971) 339-9240

Reviews and Comments


Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213
Phone: 503-233-6940    
Dr. Robert Brian Bettencourt, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225
Phone: 503-214-5200    Fax: 503-906-6613
Katy L Bochat, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213
Phone: 503-215-6405    
Jonathan L Vinson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 839 Ne Holladay St, Portland, OR 97232
Phone: 503-203-0700    
Dr. Timothy P Janzen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216
Phone: 503-261-7200    Fax: 503-261-7249
Alison Mitchell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213
Phone: 503-215-6480    
Dr. Steven Colin Jackson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204
Phone: 503-988-3674    Fax: 503-988-5779

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.