Brendan Cargill Carroll, MD in Portland, OR - Medicare Obstetrics & Gynecology

Brendan Cargill Carroll, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Oregon. His current practice location is 4805 Ne Glisan St, Unit 3k, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-6150.

Brendan Cargill Carroll is licensed to practice in Oregon (license number MD21047) 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 1669472775.

Contact Information

	Brendan Cargill Carroll, MD
	4805 Ne Glisan St, Unit 3k, Portland, OR 97213-2933
	(503) 215-6150
	Not Available

Map and Direction

Physician's Profile

Full Name	Brendan Cargill Carroll
Gender	Male
Speciality	Obstetrics & Gynecology
Location	4805 Ne Glisan St, 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: 1669472775
Provider Enumeration Date: 07/29/2005
Last Update Date: 02/18/2021

Medicare PECOS Information:

PECOS PAC ID: 3678656444
Enrollment ID: I20080303000367

Medical Identifiers

Medical identifiers for Brendan Cargill Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669472775	NPI	-	NPPES
130056	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD21047 (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. Brendan Cargill Carroll allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768

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. Brendan Cargill Carroll 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
Brendan Cargill Carroll, MD Po Box 3158, Portland, OR 97208-3158 Ph: () -	Brendan Cargill Carroll, MD 4805 Ne Glisan St, Unit 3k, Portland, OR 97213-2933 Ph: (503) 215-6150

Reviews and Comments

Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216 Phone: 503-261-4423 Fax: 503-261-4424
John Gilbert Buckmaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4200
Darlene J Dodson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225 Phone: 503-216-3388
Antonio E Frias, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4200 Fax: 503-494-4473
Sig-linda Jacobson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5006 Sw Martha St, Portland, OR 97221 Phone: 503-806-7854
Laila Raad Sillay, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225 Phone: 503-445-0590
Carolyn Marie Withee, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9135 Sw Barnes Rd Ste 761, Portland, OR 97225 Phone: 503-216-2602

Brendan Cargill Carroll, MD - Medicare Obstetrics & Gynecology in Portland, OR