Dr David Patrick O'brien Iv, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Portland, Oregon. He went to Emory University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice The Oregon Clinic, Pc and his current practice location is
4805 Ne Glisan St, Suite 6n60, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 281-0561.
Dr David Patrick O'brien Iv is licensed to practice in Oregon (license number MD28214) 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 1669440350.
Physician's Profile
| Full Name | Dr David Patrick O'brien Iv |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 27 Years |
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| Location | 4805 Ne Glisan 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. |
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Medical Education and Training:
- Dr David Patrick O'brien Iv attended and graduated from Emory University School Of Medicine in 1997
NPI Data:
- NPI Number: 1669440350
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446205876
- Enrollment ID: I20080630000256
Medical Identifiers
Medical identifiers for Dr David Patrick O'brien Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669440350 | NPI | - | NPPES |
| 272697 | Medicaid | OR | |
| 8508939 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD28214 (Oregon) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD28214 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Oregon Clinic, Pc | 2860390408 | 313 |
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 David Patrick O'brien Iv allows following entities to bill medicare on his behalf.
| Entity Name | The Oregon Clinic, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265417174
PECOS PAC ID: 2860390408
Enrollment ID: O20031222000096 |
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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 David Patrick O'brien Iv 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 |
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Dr David Patrick O'brien Iv, MD
541 Ne 20th Ave Ste 225,
Portland, OR 97232-2895
Ph: (503) 963-2801 | Dr David Patrick O'brien Iv, MD
4805 Ne Glisan St, Suite 6n60,
Portland, OR 97213-2933
Ph: (503) 281-0561 |
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