Cecelia Gutierrez, is a medicare enrolled "Physical Therapist" physician in Portland, Oregon. Her current practice location is
3303 S Bond Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-3151.
Cecelia Gutierrez is licensed to practice in Oregon (license number 62906) 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 1518096353.
Physician's Profile
Full Name | Cecelia Gutierrez |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 3303 S Bond Ave, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518096353
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 08/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668713843
- Enrollment ID: I20200622001971
Medical Identifiers
Medical identifiers for Cecelia Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518096353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 62906 (Oregon) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 62906 (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. Cecelia Gutierrez allows following entities to bill medicare on her behalf.
Entity Name | Portland Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101 |
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Entity Name | Ohsu Outpatient Clinical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336824440 PECOS PAC ID: 7315300571 Enrollment ID: O20230906000508 |
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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. Cecelia Gutierrez 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 |
Cecelia Gutierrez, 15050 Sw Mallard Dr Unit 201, Beaverton, OR 97007-9386 Ph: () - | Cecelia Gutierrez, 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-3151 |
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