Douglas Michael Lackowski, MD in Portland, OR - Medicare Hematology/oncology

Douglas Michael Lackowski, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Portland, Oregon. He went to University Of South Carolina School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Peacehealth and his current practice location is 3600 N Interstate Ave, Interstate Medical Office Central, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 285-9321.

Douglas Michael Lackowski is licensed to practice in Oregon (license number OR MD18334) 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 1831292861.

Contact Information

	Douglas Michael Lackowski, MD
	3600 N Interstate Ave, Interstate Medical Office Central, Portland, OR 97227-1106
	(503) 285-9321
	Not Available

Map and Direction

Physician's Profile

Full Name	Douglas Michael Lackowski
Gender	Male
Speciality	Hematology/oncology
Experience	32 Years
Location	3600 N Interstate Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Michael Lackowski attended and graduated from University Of South Carolina School Of Medicine in 1992

NPI Data:

NPI Number: 1831292861
Provider Enumeration Date: 09/06/2006
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 7012098361
Enrollment ID: I20100127000867

Medical Identifiers

Medical identifiers for Douglas Michael Lackowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831292861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RX0202X	Internal Medicine - Medical Oncology	WA MD00032902 (Washington)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	OR MD18334 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peacehealth Southwest Medical Center	Vancouver, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peacehealth	8820178288	176

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. Douglas Michael Lackowski allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429

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. Douglas Michael Lackowski 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
Douglas Michael Lackowski, MD Kaiser Permanente Interstate Medical Office Central, 3600 N. Interstate Ave, Portland, OR 97227-1116 Ph: () -	Douglas Michael Lackowski, MD 3600 N Interstate Ave, Interstate Medical Office Central, Portland, OR 97227-1106 Ph: (503) 285-9321

Reviews and Comments

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Douglas Michael Lackowski, MD - Medicare Hematology/oncology in Portland, OR