Dr Tyler Justin Gluckman Iii, MD - Medicare Cardiovascular Disease (cardiology) in Portland, OR

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Dr Tyler Justin Gluckman Iii, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Portland, Oregon. He went to Northwestern University Feinberg Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Providence Health And Services Oregon, Providence Health And Services - Oregon, Providence Health And Services Oregon and his current practice location is 9427 Sw Barnes Rd, Suite 498, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-0900.

Dr Tyler Justin Gluckman Iii is licensed to practice in Oregon (license number MD26695) 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 1790749422.

Contact Information

Dr Tyler Justin Gluckman Iii, MD
9427 Sw Barnes Rd, Suite 498,
Portland, OR 97225-6652
(503) 216-0900
Not Available

Map and Direction




Physician's Profile

Full NameDr Tyler Justin Gluckman Iii
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience27 Years
Location9427 Sw Barnes Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. 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 Tyler Justin Gluckman Iii attended and graduated from Northwestern University Feinberg Medical School in 1997
  NPI Data:
  • NPI Number: 1790749422
  • Provider Enumeration Date: 04/12/2006
  • Last Update Date: 12/18/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2466464862
  • Enrollment ID: I20060630000075

Medical Identifiers

Medical identifiers for Dr Tyler Justin Gluckman Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790749422NPI-NPPES
240072MedicaidOR
P00848623OtherORRR MEDICARE
P00348434OtherORRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease D0058894 (Maryland)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease MD26695 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital
Providence Portland Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344
Providence Health And Services - Oregon529490192251
Providence Health And Services Oregon9335057447137

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 Tyler Justin Gluckman Iii allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093976243
PECOS PAC ID: 3476450560
Enrollment ID: O20031217000186
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952482275
PECOS PAC ID: 3072415652
Enrollment ID: O20040123000519
Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912282369
PECOS PAC ID: 5294901922
Enrollment ID: O20120319000430

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 Tyler Justin Gluckman Iii 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 Tyler Justin Gluckman Iii, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Dr Tyler Justin Gluckman Iii, MD
9427 Sw Barnes Rd, Suite 498,
Portland, OR 97225-6652

Ph: (503) 216-0900

Reviews and Comments


Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD
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Practice Location: 4805 Ne Glisan St, Portland, OR 97213
Phone: 503-215-2392    
Dr. Emmanuel Trungtoan Tavan, MD
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Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227
Phone: 503-413-2901    
Ginevra Lois Liptan, M.D.
Cardiovascular Disease
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Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221
Phone: 503-477-9616    Fax: 503-477-9808
Donald Richard Sullivan, MD
Cardiovascular Disease
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.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225
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Richa Uppal, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 800 Sw 13th Ave, Portland, OR 97205
Phone: 503-221-0161    Fax: 503-274-1697
Reem Hasan, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239
Phone: 503-494-8562    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.