David Tay, MD in Portland, OR - Medicare Student in an Organized Health Care Education/Training Program

David Tay, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8211.

David Tay is licensed to practice in * (Not Available) (license number ) 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 1639759046.

Contact Information

	David Tay, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098
	(503) 494-8211
	Not Available

Map and Direction

Physician's Profile

Full Name	David Tay
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	3181 Sw Sam Jackson Park Rd, 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: 1639759046
Provider Enumeration Date: 04/09/2021
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 6901201458
Enrollment ID: I20240528003896

Medical Identifiers

Medical identifiers for David Tay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639759046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD215808 (Oregon)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. David Tay allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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 Tay 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
David Tay, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: (503) 494-8211	David Tay, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: (503) 494-8211

David Tay, MD - Medicare Student in an Organized Health Care Education/Training Program in Portland, OR