Annie Seapan Mack, MD in Portland, OR - Medicare Internal Medicine

Annie Seapan Mack, MD is a medicare enrolled "Pediatrics" physician in Portland, Oregon. She went to University Of Texas Medical School At San Antonio and graduated in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Advanced Internal Medicine Group Pc and her current practice location is 9555 Sw Barnes Rd Ste 255, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 908-1590.

Annie Seapan Mack is licensed to practice in Oregon (license number MD27041) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932125184.

Contact Information

	Annie Seapan Mack, MD
	9555 Sw Barnes Rd Ste 255, Portland, OR 97225-6654
	(503) 908-1590
	(503) 723-2862

Map and Direction

Physician's Profile

Full Name	Annie Seapan Mack
Gender	Female
Speciality	Internal Medicine
Experience	23 Years
Location	9555 Sw Barnes Rd Ste 255, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Annie Seapan Mack attended and graduated from University Of Texas Medical School At San Antonio in 2001

NPI Data:

NPI Number: 1932125184
Provider Enumeration Date: 07/14/2006
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2062441058
Enrollment ID: I20100804000670

Medical Identifiers

Medical identifiers for Annie Seapan Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932125184	NPI	-	NPPES
500633407	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD27041 (Oregon)	Secondary
208000000X	Pediatrics	MD27041 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Internal Medicine Group Pc	7214235258	7

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. Annie Seapan Mack allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Entity Name	Advanced Internal Medicine Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487014163 PECOS PAC ID: 7214235258 Enrollment ID: O20160407001463

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. Annie Seapan Mack 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
Annie Seapan Mack, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Annie Seapan Mack, MD 9555 Sw Barnes Rd Ste 255, Portland, OR 97225-6654 Ph: (503) 908-1590

Reviews and Comments

Pediatrics Doctors in Portland, OR

Dr. Sharon Sarah Green Gorini, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239 Phone: 503-418-5170
Megan Furnari, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239 Phone: 503-494-8211
Bruce Alan Boston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1926
Dr. Karin Ann Selva, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227 Phone: 503-413-1600
Dr. Peter H Chang, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 250, Portland, OR 97227 Phone: 503-280-3418 Fax: 503-284-7885
George W Bengtson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4212 Ne Broadway St, Portland, OR 97213 Phone: 503-249-8787
Dr. Amanda K Blockinger Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217 Phone: 503-595-9300

Annie Seapan Mack, MD - Medicare Internal Medicine in Portland, OR