Carol Pelmas, MD - Medicare Orthopaedic Surgery in Portland, OR

Carol Pelmas, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Portland, Oregon. Her current practice location is 9427 Sw Barnes Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 203-2040.

Carol Pelmas is licensed to practice in Oregon (license number MD18327) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093818163.

Contact Information

Carol Pelmas, MD
9427 Sw Barnes Rd,
Portland, OR 97225-6652
(503) 203-2040
Not Available

Map and Direction




Physician's Profile

Full NameCarol Pelmas
GenderFemale
SpecialityOrthopaedic Surgery - Sports Medicine
Location9427 Sw Barnes Rd, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093818163
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658452859
  • Enrollment ID: I20080114000521

Medical Identifiers

Medical identifiers for Carol Pelmas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093818163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine MD18327 (Oregon)Primary
207XX0005XOrthopaedic Surgery - Sports Medicine MD00024535 (Washington)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. Carol Pelmas allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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. Carol Pelmas 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
Carol Pelmas, MD
604 Cabana Ln,
Lake Oswego, OR 97034-3731

Ph: () -
Carol Pelmas, MD
9427 Sw Barnes Rd,
Portland, OR 97225-6652

Ph: (503) 203-2040

Reviews and Comments


Orthopaedic Surgery Doctors in Portland, OR

Cory Vernon Carlston, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 10000 Se Main St Ste 224, Portland, OR 97216
Phone: 503-261-6961    Fax: 503-261-6959
Dr. Benjamin F Balme, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 10000 Se Main St, Suite 128, Portland, OR 97216
Phone: 503-261-6961    Fax: 503-261-6959
Dr. Matthew F Halsey, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Department Of Orthopaedics, Op-31, Portland, OR 97239
Phone: 503-494-6400    Fax: 503-494-5050
Travis Campbell Philipp, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3181 S.w. Sam Jackson Park Rd., Oregon Health And Science University, Portland, OR 97239
Phone: 503-494-8311    
Dr. James Lester Baldwin, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5050 Ne Hoyt, #138, Portland, OR 97213
Phone: 503-223-1584    Fax: 503-241-8362
Dr. Richard Lawrence Auran, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 5050 Ne Hoyt St Ste 138, Portland, OR 97213
Phone: 503-238-1061    Fax: 503-238-0841

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).

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