Dr Prasanth M Prasanna, MD | |
335 Se 8th Ave, Hillsboro, OR 97123-4246 | |
(503) 681-1100 | |
(503) 681-1835 |
Full Name | Dr Prasanth M Prasanna |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 335 Se 8th Ave, Hillsboro, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972678845 | NPI | - | NPPES |
500641671 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD156365 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tuality Community Hospital | Hillsboro, OR | Hospital |
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tuality Medical Group Llc | 7416173414 | 239 |
Entity Name | Tuality Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
Mailing Address | Practice Location Address |
---|---|
Dr Prasanth M Prasanna, MD 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (503) 494-8417 | Dr Prasanth M Prasanna, MD 335 Se 8th Ave, Hillsboro, OR 97123-4246 Ph: (503) 681-1100 |
Dr. Natalie Ku, MD Radiology Medicare: Medicare Enrolled Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-681-1000 Fax: 503-681-1796 | |
Geoffrey M Gullo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123 Phone: 513-681-1109 Fax: 503-681-1835 | |
Dr. Timur Mitin, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 299 Se 9th Ave, Hillsboro, OR 97123 Phone: 503-681-4200 Fax: 503-681-4210 | |
Austin D. Jou, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 Nw Stucki Ave, Hillsboro, OR 97124 Phone: 503-571-2880 |