Dr Antonio Pena, MD is a medicare enrolled "Specialist" physician in Portland, Oregon. He went to University Of Washington School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Rose City Internal Medicine Pc and his current practice location is
5050 Ne Hoyt St, Suite 203, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 230-9224.
Dr Antonio Pena is licensed to practice in Oregon (license number 166613) 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 1760531115.
Physician's Profile
Full Name | Dr Antonio Pena |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 33 Years |
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Location | 5050 Ne Hoyt St, Portland, Oregon |
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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:
- Dr Antonio Pena attended and graduated from University Of Washington School Of Medicine in 1991
NPI Data:
- NPI Number: 1760531115
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 01/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 1658357769
- Enrollment ID: I20150423001697
Medical Identifiers
Medical identifiers for Dr Antonio Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760531115 | NPI | - | NPPES |
168949 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 22541 (Arizona) | Secondary |
174400000X | Specialist | 166613 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Rose City Internal Medicine Pc | 8628495371 | 3 |
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 Antonio Pena allows following entities to bill medicare on his behalf.
Entity Name | Rural Physicians Group-pannu Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20140925000300 |
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Entity Name | Nw Internal Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174917603 PECOS PAC ID: 6103144225 Enrollment ID: O20150421000999 |
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Entity Name | Rose City Internal Medicine Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629696075 PECOS PAC ID: 8628495371 Enrollment ID: O20200826004028 |
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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 Antonio Pena 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 Antonio Pena, MD 5050 Ne Hoyt St, Suite 203, Portland, OR 97213-2991 Ph: (503) 230-9224 | Dr Antonio Pena, MD 5050 Ne Hoyt St, Suite 203, Portland, OR 97213-2991 Ph: (503) 230-9224 |
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