Dr Rom Samuel Leidner, MD in Portland, OR - Medicare Medical Oncology

Dr Rom Samuel Leidner, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Portland, Oregon. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Medical Oncology. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 4805 Ne Glisan St, Suite 6n40, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-5696.

Dr Rom Samuel Leidner is licensed to practice in Oregon (license number MD159938) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801908702.

Contact Information

	Dr Rom Samuel Leidner, MD
	4805 Ne Glisan St, Suite 6n40, Portland, OR 97213-2933
	(503) 215-5696
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Rom Samuel Leidner
Gender	Male
Speciality	Medical Oncology
Experience	25 Years
Location	4805 Ne Glisan St, Portland, 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.

Medical Education and Training:

Dr Rom Samuel Leidner graduated from medical school in 1999

NPI Data:

NPI Number: 1801908702
Provider Enumeration Date: 08/31/2006
Last Update Date: 03/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1052339066
Enrollment ID: I20121210000122

Medical Identifiers

Medical identifiers for Dr Rom Samuel Leidner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801908702	NPI	-	NPPES
0039581	Other	WA	LABOR & INDUSTRY
P00287631	Other		RAILROAD MEDICARE
8441743	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	57.012492 (Ohio)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	MD00044911 (Washington)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	MD159938 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Portland Medical Center	Portland, OR	Hospital
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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 Rom Samuel Leidner allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

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 Rom Samuel Leidner 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 Rom Samuel Leidner, MD Po Box 3158, Portland, OR 97208-3158 Ph: () -	Dr Rom Samuel Leidner, MD 4805 Ne Glisan St, Suite 6n40, Portland, OR 97213-2933 Ph: (503) 215-5696

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Internal Medicine 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 Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Dr Rom Samuel Leidner, MD - Medicare Medical Oncology in Portland, OR