Dr Dirk Jacob Van Leeuwen, MD, PHD, FAASLD in Portland, OR

Dr Dirk Jacob Van Leeuwen, MD, PHD, FAASLD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Portland, Oregon. His current practice location is 10000 Se Main St Ste 112, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 255-3054.

Dr Dirk Jacob Van Leeuwen is licensed to practice in Oregon (license number CP206793) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205941309.

Contact Information

	Dr Dirk Jacob Van Leeuwen, MD, PHD, FAASLD
	10000 Se Main St Ste 112, Portland, OR 97216-2441
	(503) 255-3054
	(503) 255-7651

Map and Direction

Physician's Profile

Full Name	Dr Dirk Jacob Van Leeuwen
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	10000 Se Main St Ste 112, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205941309
Provider Enumeration Date: 08/20/2006
Last Update Date: 02/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3072671981
Enrollment ID: I20150310001713

Medical Identifiers

Medical identifiers for Dr Dirk Jacob Van Leeuwen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205941309	NPI	-	NPPES
100220249	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	EMERGENT (Kentucky)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	CP206793 (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 Dirk Jacob Van Leeuwen allows following entities to bill medicare on his behalf.

Entity Name	Southern Maine Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060

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 Dirk Jacob Van Leeuwen 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 Dirk Jacob Van Leeuwen, MD, PHD, FAASLD 10000 Se Main St Ste 112, Portland, OR 97216-2441 Ph: (503) 255-3054	Dr Dirk Jacob Van Leeuwen, MD, PHD, FAASLD 10000 Se Main St Ste 112, Portland, OR 97216-2441 Ph: (503) 255-3054

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Dr Dirk Jacob Van Leeuwen, MD, PHD, FAASLD - Medicare Internal Medicine in Portland, OR