Bradley Jack Tishman, - Medicare Family Medicine in La Grande, OR

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Bradley Jack Tishman, is a medicare enrolled "Family Medicine" physician in La Grande, Oregon. His current practice location is 506 4th St, La Grande, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 663-3138.

Bradley Jack Tishman is licensed to practice in Oregon (license number DO219893) 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 1033783584.

Contact Information

Bradley Jack Tishman,
506 4th St,
La Grande, OR 97850-1906
(541) 663-3138
(541) 975-5120

Map and Direction




Physician's Profile

Full NameBradley Jack Tishman
GenderMale
SpecialityFamily Medicine
Location506 4th St, La Grande, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033783584
  • Provider Enumeration Date: 05/19/2021
  • Last Update Date: 08/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466991187
  • Enrollment ID: I20240827000148

Medical Identifiers

Medical identifiers for Bradley Jack Tishman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033783584NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO219893 (Oregon)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Bradley Jack Tishman allows following entities to bill medicare on his behalf.
Entity NameGrande Ronde Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20031124000758

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. Bradley Jack Tishman 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
Bradley Jack Tishman,
Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive,
Columbia, SC 29203

Ph: (803) 434-6113		Bradley Jack Tishman,
506 4th St,
La Grande, OR 97850-1906

Ph: (541) 663-3138

Reviews and Comments


Family Medicine Doctors in La Grande, OR

Dr. Michelle Tolle, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 506 4th St, La Grande, OR 97850
Phone: 541-663-3138    Fax: 541-975-5120
Tracey Kathleen Tracy, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 506 4th St, La Grande, OR 97850
Phone: 541-663-3138    Fax: 541-975-5120
Brooke Davis, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 506 4th St, La Grande, OR 97850
Phone: 541-663-3138    Fax: 541-975-5120
Dr. Ellen K Schoenfelder, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 710 Sunset Drive, Suite C, La Grande, OR 97850
Phone: 541-963-4139    Fax: 541-963-4412
Dr. Bryan Richard Conklin, MD PC
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2011 Fourth Street, La Grande, OR 97850
Phone: 541-963-4139    Fax: 541-963-4412
Debra Studer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 506 4th St, La Grande, OR 97850
Phone: 541-663-3138    Fax: 541-975-5120

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.