Curtis Richard Thiessen, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Tualatin, Oregon. His current practice location is
19185 Sw 90th Ave, Tualatin, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 885-7300.
Curtis Richard Thiessen is licensed to practice in Oregon (license number MD14390) 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 1417960956.
Physician's Profile
Full Name | Curtis Richard Thiessen |
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Gender | Male |
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Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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Location | 19185 Sw 90th Ave, Tualatin, 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: 1417960956
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5799875076
- Enrollment ID: I20071227000083
Medical Identifiers
Medical identifiers for Curtis Richard Thiessen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417960956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD14390 (Oregon) | Primary |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD00024978 (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. Curtis Richard Thiessen allows following entities to bill medicare on his behalf.
Entity Name | Northwest Medical Foundation Of Tillamook |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
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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. Curtis Richard Thiessen 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 |
Curtis Richard Thiessen, MD 20700 Sw Kawanda Ct, Tualatin, OR 97062-9598 Ph: (503) 692-8219 | Curtis Richard Thiessen, MD 19185 Sw 90th Ave, Tualatin, OR 97062-7558 Ph: (503) 885-7300 |
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