Dr Roger A Wicklund, MD in Portland, OR

Dr Roger A Wicklund, MD is a medicare enrolled "Urology" physician in Portland, Oregon. His current practice location is 9135 Sw Barnes Rd, Ste. 663, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 297-1078.

Dr Roger A Wicklund is licensed to practice in Oregon (license number MD09630) 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 1417065848.

Contact Information

	Dr Roger A Wicklund, MD
	9135 Sw Barnes Rd, Ste. 663, Portland, OR 97225-6646
	(503) 297-1078
	(503) 292-2176

Map and Direction

Physician's Profile

Full Name	Dr Roger A Wicklund
Gender	Male
Speciality	Urology
Location	9135 Sw Barnes Rd, 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: 1417065848
Provider Enumeration Date: 08/27/2006
Last Update Date: 10/16/2012

Medicare PECOS Information:

PECOS PAC ID: 1355423914
Enrollment ID: I20080205000152

Medical Identifiers

Medical identifiers for Dr Roger A Wicklund such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417065848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD09630 (Oregon)	Primary
208800000X	Urology	MD00034648 (Washington)	Secondary

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 Roger A Wicklund allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Roger A Wicklund 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 Roger A Wicklund, MD 9135 Sw Barnes Rd, Ste. 663, Portland, OR 97225-6646 Ph: (503) 297-1078	Dr Roger A Wicklund, MD 9135 Sw Barnes Rd, Ste. 663, Portland, OR 97225-6646 Ph: (503) 297-1078

Reviews and Comments

Urology Doctors in Portland, OR

Donald Andrew Young Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Suite 514, Portland, OR 97213 Phone: 503-488-2323 Fax: 503-488-2340
Dr. James Christopher Austin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Pediatric Urology Cdw-6, Portland, OR 97239 Phone: 503-494-4808 Fax: 503-494-4743
Lauren Lamina, Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Dr. Jin-hee Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Ste 342, Portland, OR 97216 Phone: 503-255-5244 Fax: 503-255-5120
Berhane Mebratu, NP Urology Medicare: Medicare Enrolled Practice Location: 9495 Sw Locust St Ste G, Portland, OR 97223 Phone: 559-321-2800 Fax: 559-321-2780
Michael Joseph Conlin, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3303 Sw Bond Ave, Ch10u, Portland, OR 97239 Phone: 503-494-4779 Fax: 503-494-8671
Dr. James M Keane, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, Ste 422, Portland, OR 97225 Phone: 503-297-1078 Fax: 503-292-2176

Dr Roger A Wicklund, MD - Medicare Urology in Portland, OR