Dr Thomas L Poulton, MD is a medicare enrolled "Urology" physician in Brookings, Oregon. His current practice location is
500 5th St, Brookings, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 412-2000.
Dr Thomas L Poulton is licensed to practice in Oregon (license number MD196953) 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 1902997836.
Physician's Profile
| Full Name | Dr Thomas L Poulton |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
|---|
| Location | 500 5th St, Brookings, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1902997836
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 09/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 2961599568
- Enrollment ID: I20170608001540
Medical Identifiers
Medical identifiers for Dr Thomas L Poulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902997836 | NPI | - | NPPES |
| R217930 | Medicaid | OR | |
| 1487696985 | Other | OR | CURRY GENERAL HOSPITAL NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | MD 602 15304 (Washington) | Secondary |
| 208800000X | Urology | MD196953 (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 Thomas L Poulton allows following entities to bill medicare on his behalf.
| Entity Name | Northern Maine Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568465144
PECOS PAC ID: 8426952987
Enrollment ID: O20040511000177 |
|---|
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 Thomas L Poulton 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 Thomas L Poulton, MD
94220 4th St,
Gold Beach, OR 97444-7756
Ph: (541) 247-3910 | Dr Thomas L Poulton, MD
500 5th St,
Brookings, OR 97415-9702
Ph: (541) 412-2000 |
Reviews and Comments