Bradley James Petek, MD in Portland, OR - Medicare Internal Medicine

Bradley James Petek, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Portland, Oregon. His current practice location is 3303 S Bond Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-1775.

Bradley James Petek is licensed to practice in Oregon (license number MD214252) 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 1558891705.

Contact Information

	Bradley James Petek, MD
	3303 S Bond Ave, Portland, OR 97239-4501
	(503) 494-1775
	(503) 494-4749

Map and Direction

Physician's Profile

Full Name	Bradley James Petek
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	3303 S Bond Ave, 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: 1558891705
Provider Enumeration Date: 06/19/2017
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0446523641
Enrollment ID: I20230725002606

Medical Identifiers

Medical identifiers for Bradley James Petek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558891705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	272368 (Massachusetts)	Secondary
207R00000X	Internal Medicine	MD214252 (Oregon)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD214252 (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. Bradley James Petek 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. Bradley James Petek 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
Bradley James Petek, MD 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-1775	Bradley James Petek, MD 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-1775

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Bradley James Petek, MD - Medicare Internal Medicine in Portland, OR