Dr Proleta Datta, MD PHD - Medicare Neurology in Portland, OR

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Dr Proleta Datta, MD PHD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Portland, Oregon. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Oregon Health And Sciences University/university Medical Group, Tuality Medical Group Llc and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-7772.

Dr Proleta Datta is licensed to practice in Nebraska (license number 30734) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326393695.

Contact Information

Dr Proleta Datta, MD PHD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-7772
(503) 494-7242

Map and Direction




Physician's Profile

Full NameDr Proleta Datta
GenderFemale
SpecialityNeurology
Experience20 Years
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Proleta Datta graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1326393695
  • Provider Enumeration Date: 07/23/2012
  • Last Update Date: 06/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719279090
  • Enrollment ID: I20210506001851

Medical Identifiers

Medical identifiers for Dr Proleta Datta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326393695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 30734 (Nebraska)Primary
2084N0400XPsychiatry & Neurology - Neurology MD203710 (Oregon)Secondary
2084N0400XPsychiatry & Neurology - Neurology A142041 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program BP10043519 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohsu Hospital And ClinicsPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oregon Health And Sciences University/university Medical Group48807601071479
Tuality Medical Group Llc7416173414239

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 Proleta Datta allows following entities to bill medicare on her behalf.
Entity NameColumbia Lutheran Charities
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1134146939
PECOS PAC ID: 5294643359
Enrollment ID: O20021217000028
Entity NameColumbia Lutheran Charities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146939
PECOS PAC ID: 5294643359
Enrollment ID: O20040202000073
Entity NameBay Area Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225016561
PECOS PAC ID: 2163331000
Enrollment ID: O20040310000301
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

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 Proleta Datta 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 AddressPractice Location Address
Dr Proleta Datta, MD PHD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-7772		Dr Proleta Datta, MD PHD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-7772

Reviews and Comments


Psychiatry & Neurology Doctors in Portland, OR

Mikel Matto, M.D.
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Phone: 503-494-4222    Fax: 503-494-6143
William James Hoppe, MD
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Phone: 503-494-6176    Fax: 503-494-6152
Karina Rae Espana, MD
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Dr. David Morrison Douglas, MD
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Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239
Phone: 503-721-1440    
Margaret S Cary, MD, MPH
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Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code Dc7p, Portland, OR 97239
Phone: 503-418-5775    Fax: 503-418-5774
Dr. Melissa Beth Buboltz, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239
Phone: 503-494-8311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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