Dr Audrey Ellen Tarr, MD - Medicare Obstetrics & Gynecology in Portland, OR

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Dr Audrey Ellen Tarr, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Portland, Oregon. Her current practice location is 1040 Nw 22nd Ave, Suite 600, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 413-5787.

Dr Audrey Ellen Tarr is licensed to practice in Oregon (license number MD23494) 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 1922110972.

Contact Information

Dr Audrey Ellen Tarr, MD
1040 Nw 22nd Ave, Suite 600,
Portland, OR 97210-3041
(503) 413-5787
(503) 413-5788

Map and Direction




Physician's Profile

Full NameDr Audrey Ellen Tarr
GenderFemale
SpecialityObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery
Location1040 Nw 22nd Ave, Suite 600, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922110972
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 07/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9931280039
  • Enrollment ID: I20080115000347

Medical Identifiers

Medical identifiers for Dr Audrey Ellen Tarr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922110972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VF0040XObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery MD00040629 (Washington)Secondary
207VX0000XObstetrics & Gynecology - Obstetrics MD23494 (Oregon)Secondary
207VF0040XObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery MD23494 (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 Audrey Ellen Tarr allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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 Audrey Ellen Tarr 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 AddressPractice Location Address
Dr Audrey Ellen Tarr, MD
1040 Nw 22nd Ave, Suite 600,
Portland, OR 97210-3041

Ph: (503) 413-5787		Dr Audrey Ellen Tarr, MD
1040 Nw 22nd Ave, Suite 600,
Portland, OR 97210-3041

Ph: (503) 413-5787

Reviews and Comments


Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD
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Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216
Phone: 503-261-4423    Fax: 503-261-4424
John Gilbert Buckmaster, MD
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Phone: 503-494-4200    
Darlene J Dodson, M.D.
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Antonio E Frias, MD
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Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-4200    Fax: 503-494-4473
Sig-linda Jacobson, M.D.
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Practice Location: 5006 Sw Martha St, Portland, OR 97221
Phone: 503-806-7854    
Laila Raad Sillay, MD
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Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225
Phone: 503-445-0590    
Carolyn Marie Withee, DO
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Practice Location: 9135 Sw Barnes Rd Ste 761, Portland, OR 97225
Phone: 503-216-2602    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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