Christopher Robert Connelly, MD is a medicare enrolled "Transplant Surgery" physician in Portland, Oregon. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Oregon Health And Sciences University/university Medical Group and his current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 494-7810.
Christopher Robert Connelly is licensed to practice in Oregon (license number MD174551) 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 1629369756.
Physician's Profile
Full Name | Christopher Robert Connelly |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 13 Years |
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Location | 3181 Sw Sam Jackson Park Rd, 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:
- Christopher Robert Connelly graduated from medical school in 2011
NPI Data:
- NPI Number: 1629369756
- Provider Enumeration Date: 04/24/2011
- Last Update Date: 07/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991941296
- Enrollment ID: I20200813000124
Medical Identifiers
Medical identifiers for Christopher Robert Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629369756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD174551 (Oregon) | Secondary |
204F00000X | Transplant Surgery | MD174551 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
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. Christopher Robert Connelly allows following entities to bill medicare on his behalf.
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
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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. Christopher Robert Connelly 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 |
Christopher Robert Connelly, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7810 | Christopher Robert Connelly, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7810 |
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