Brant William Ullery, MD in Portland, OR - Medicare General Surgery

Brant William Ullery, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Portland, Oregon. He went to Js Weill Medical College, Cornell University and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 4400 Ne Halsey St Ste 102, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-0990.

Brant William Ullery is licensed to practice in Oregon (license number MD171554) 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 1588826804.

Contact Information

	Brant William Ullery, MD
	4400 Ne Halsey St Ste 102, Portland, OR 97213-1545
	(503) 216-0990
	(503) 921-1021

Map and Direction

Physician's Profile

Full Name	Brant William Ullery
Gender	Male
Speciality	General Surgery
Experience	16 Years
Location	4400 Ne Halsey St Ste 102, 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:

Brant William Ullery attended and graduated from Js Weill Medical College, Cornell University in 2008

NPI Data:

NPI Number: 1588826804
Provider Enumeration Date: 06/27/2008
Last Update Date: 06/21/2024

Medicare PECOS Information:

PECOS PAC ID: 4981922903
Enrollment ID: I20150422002206

Medical Identifiers

Medical identifiers for Brant William Ullery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588826804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	MD171554 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Portland Medical Center	Portland, OR	Hospital
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Milwaukie Hospital	Milwaukie, OR	Hospital
Providence Willamette Falls Medical Center	Oregon city, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. Brant William Ullery allows following entities to bill medicare on his 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. Brant William Ullery 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
Brant William Ullery, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Brant William Ullery, MD 4400 Ne Halsey St Ste 102, Portland, OR 97213-1545 Ph: (503) 216-0990

Reviews and Comments

Surgery Doctors in Portland, OR

Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372

Brant William Ullery, MD - Medicare General Surgery in Portland, OR