Dr Alison Marie Small, MD in Portland, OR

Dr Alison Marie Small, MD is a medicare enrolled "Dermatology" physician in Portland, Oregon. Her current practice location is 3303 Sw Bond Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 418-3376.

Dr Alison Marie Small is licensed to practice in Oregon (license number MD182444) 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 1003176942.

Contact Information

	Dr Alison Marie Small, MD
	3303 Sw Bond Ave, Portland, OR 97239-4501
	(503) 418-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Alison Marie Small
Gender	Female
Speciality	Dermatology
Location	3303 Sw Bond Ave, 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: 1003176942
Provider Enumeration Date: 05/25/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3173814118
Enrollment ID: I20170606001545

Medical Identifiers

Medical identifiers for Dr Alison Marie Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003176942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD182444 (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. Dr Alison Marie Small allows following entities to bill medicare on her behalf.

Entity Name	Legacy Emanuel Hospital & Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204

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

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. Dr Alison Marie Small 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
Dr Alison Marie Small, MD 3303 Sw Bond Ave, Portland, OR 97239-4501 Ph: (503) 418-3376	Dr Alison Marie Small, MD 3303 Sw Bond Ave, Portland, OR 97239-4501 Ph: (503) 418-3376

Reviews and Comments

Dermatology Doctors in Portland, OR

Milie Fang, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375
Bert G Tavelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947
Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274
Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211
Oluwadamilare Olalekan Ajayi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-418-3376 Fax: 503-494-6968
Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504

Dr Alison Marie Small, MD - Medicare Dermatology in Portland, OR