Antonio Estevan Cordova, MD in Portland, OR - Medicare Student in an Organized Health Care Education/Training Program

Antonio Estevan Cordova, MD - Medicare Student in an Organized Health Care Education/Training Program in Portland, OR

Antonio Estevan Cordova, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. His current practice location is 5050 Ne Hoyt St Ste 540, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-6600.

Antonio Estevan Cordova is licensed to practice in Oregon (license number PG204731) 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 1205402245.

Contact Information

	Antonio Estevan Cordova, MD
	5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985
	(503) 215-6600
	Not Available

Map and Direction

Physician's Profile

Full Name	Antonio Estevan Cordova
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	5050 Ne Hoyt St Ste 540, 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: 1205402245
Provider Enumeration Date: 06/01/2021
Last Update Date: 08/11/2021

Medicare PECOS Information:

PECOS PAC ID: 7618378183
Enrollment ID: I20210622003356

Medical Identifiers

Medical identifiers for Antonio Estevan Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205402245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	PG204731 (Oregon)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	PG204731 (Oregon)	Primary

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. Antonio Estevan Cordova 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
Antonio Estevan Cordova, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Antonio Estevan Cordova, MD 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 Ph: (503) 215-6600