Aika Shepard Gumboc, MD in Portland, OR - Medicare Psychiatry & Neurology

Aika Shepard Gumboc, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Portland, Oregon. Her current practice location is 5228 Ne Hoyt St Bldg B, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-4860.

Aika Shepard Gumboc is licensed to practice in Oregon (license number MD191830) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073599528.

Contact Information

	Aika Shepard Gumboc, MD
	5228 Ne Hoyt St Bldg B, Portland, OR 97213-3055
	(503) 215-4860
	Not Available

Map and Direction

Physician's Profile

Full Name	Aika Shepard Gumboc
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	5228 Ne Hoyt St Bldg B, 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: 1073599528
Provider Enumeration Date: 12/16/2005
Last Update Date: 02/15/2021

Medicare PECOS Information:

PECOS PAC ID: 1456685544
Enrollment ID: I20190624001663

Medical Identifiers

Medical identifiers for Aika Shepard Gumboc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073599528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD035343 (District Of Columbia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD191830 (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. Aika Shepard Gumboc allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

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. Aika Shepard Gumboc 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
Aika Shepard Gumboc, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Aika Shepard Gumboc, MD 5228 Ne Hoyt St Bldg B, Portland, OR 97213-3055 Ph: (503) 215-4860

Reviews and Comments

Psychiatry & Neurology Doctors in Portland, OR

Mikel Matto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2214 Lloyd Ctr, Portland, OR 97232 Phone: 503-494-4222 Fax: 503-494-6143
William James Hoppe, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13303 Nw Springville Rd, Portland, OR 97229 Phone: 503-910-2664
Dr. Robert Gene Mealer, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6176 Fax: 503-494-6152
Karina Rae Espana, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Dr. David Morrison Douglas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-721-1440
Margaret S Cary, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code Dc7p, Portland, OR 97239 Phone: 503-418-5775 Fax: 503-418-5774
Dr. Melissa Beth Buboltz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239 Phone: 503-494-8311

Aika Shepard Gumboc, MD - Medicare Psychiatry & Neurology in Portland, OR