David Pettersson, MD - Medicare Diagnostic Radiology in Portland, OR

David Pettersson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Portland, Oregon. He went to Michigan State University College Of Human Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Oregon Health And Sciences University/university Medical Group and his current practice location is Ohsu, 3181 Sw Sam Jackson Park Road, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8211.

David Pettersson is licensed to practice in Oregon (license number MD155043) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639313273.

Contact Information

David Pettersson, MD
Ohsu, 3181 Sw Sam Jackson Park Road,
Portland, OR 97239
(503) 494-8211
Not Available

Map and Direction




Physician's Profile

Full NameDavid Pettersson
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
LocationOhsu, 3181 Sw Sam Jackson Park Road, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Pettersson attended and graduated from Michigan State University College Of Human Medicine in 2008
  NPI Data:
  • NPI Number: 1639313273
  • Provider Enumeration Date: 04/27/2009
  • Last Update Date: 05/13/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0345495115
  • Enrollment ID: I20140613000543

Medical Identifiers

Medical identifiers for David Pettersson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639313273NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD155043 (Oregon)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohsu Hospital And ClinicsPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oregon Health And Sciences University/university Medical Group48807601071479

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. David Pettersson allows following entities to bill medicare on his behalf.
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

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. David Pettersson 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
David Pettersson, MD
7034 Se 21st Ave,
Portland, OR 97202-5748

Ph: (503) 757-4268
David Pettersson, MD
Ohsu, 3181 Sw Sam Jackson Park Road,
Portland, OR 97239

Ph: (503) 494-8211

Reviews and Comments


Radiology Doctors in Portland, OR

Gregory Hall, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-0990    Fax: 503-494-4982
Deborah Janet Cohen, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239
Phone: 503-539-4903    
Erik W Foss, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-2570    
Hans Guenter Wandel, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-0990    
Steven Lloyd Primack, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-0990    
Dr. James S Putnam, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 503-216-4830    Fax: 503-216-4850
D. Bradley Koslin, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-0990    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.