Dr Marla Marina Matar, MD is a medicare enrolled "Anesthesiology" physician in Lake Oswego, Oregon. Her current practice location is
17620 Blue Heron Dr, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at
(626) 824-6747.
Dr Marla Marina Matar is licensed to practice in Oregon (license number MD26384) 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 1326071481.
Physician's Profile
Full Name | Dr Marla Marina Matar |
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Gender | Female |
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Speciality | Anesthesiology |
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Location | 17620 Blue Heron Dr, Lake Oswego, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326071481
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 04/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 2668577578
- Enrollment ID: I20110811000473
Medical Identifiers
Medical identifiers for Dr Marla Marina Matar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326071481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | MD26384 (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 Marla Marina Matar allows following entities to bill medicare on her behalf.
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
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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 Marla Marina Matar 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 Marla Marina Matar, MD 17620 Blue Heron Dr, Lake Oswego, OR 97034-6608 Ph: (626) 824-6747 | Dr Marla Marina Matar, MD 17620 Blue Heron Dr, Lake Oswego, OR 97034-6608 Ph: (626) 824-6747 |
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