Dmitry Dukhovny, MD, MPH in Portland, OR

Dmitry Dukhovny, MD, MPH is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Portland, Oregon. His current practice location is 707 Sw Gaines St, Ohsu Department Of Pediatrics, Mail Code-cdrc-p, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-1077.

Dmitry Dukhovny is licensed to practice in Oregon (license number 167190) 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 1346435153.

Contact Information

	Dmitry Dukhovny, MD, MPH
	707 Sw Gaines St, Ohsu Department Of Pediatrics, Mail Code-cdrc-p, Portland, OR 97239-2901
	(503) 494-1077
	Not Available

Map and Direction

Physician's Profile

Full Name	Dmitry Dukhovny
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	707 Sw Gaines St, 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: 1346435153
Provider Enumeration Date: 09/14/2007
Last Update Date: 04/18/2016

Medicare PECOS Information:

PECOS PAC ID: 9032240155
Enrollment ID: I20140811001206

Medical Identifiers

Medical identifiers for Dmitry Dukhovny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346435153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	236125 (Massachusetts)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	167190 (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. Dmitry Dukhovny allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

Entity Name	Salem Health Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027

Entity Name	Portland Adventist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750091021 PECOS PAC ID: 3274908819 Enrollment ID: O20230412001327

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. Dmitry Dukhovny 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
Dmitry Dukhovny, MD, MPH 707 Sw Gaines St, Ohsu Department Of Pediatrics, Mail Code-cdrc-p, Portland, OR 97239-2901 Ph: (503) 494-1077	Dmitry Dukhovny, MD, MPH 707 Sw Gaines St, Ohsu Department Of Pediatrics, Mail Code-cdrc-p, Portland, OR 97239-2901 Ph: (503) 494-1077

Reviews and Comments

Pediatrics Doctors in Portland, OR

Dr. Sharon Sarah Green Gorini, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239 Phone: 503-418-5170
Megan Furnari, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239 Phone: 503-494-8211
Bruce Alan Boston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1926
Dr. Karin Ann Selva, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227 Phone: 503-413-1600
Dr. Peter H Chang, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 250, Portland, OR 97227 Phone: 503-280-3418 Fax: 503-284-7885
George W Bengtson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4212 Ne Broadway St, Portland, OR 97213 Phone: 503-249-8787
Dr. Amanda K Blockinger Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217 Phone: 503-595-9300

Dmitry Dukhovny, MD, MPH - Medicare Pediatrics in Portland, OR