Elizabeth Rachel Super, MD in Portland, OR

Elizabeth Rachel Super, MD is a medicare enrolled "Pediatrics - Sleep Medicine" physician in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Dc10s, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-8311.

Elizabeth Rachel Super is licensed to practice in Oregon (license number MD28247) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326258773.

Contact Information

	Elizabeth Rachel Super, MD
	3181 Sw Sam Jackson Park Rd, Dc10s, Portland, OR 97239-3011
	(503) 494-8311
	Not Available

Map and Direction

Physician's Profile

Full Name	Elizabeth Rachel Super
Gender	Female
Speciality	Pediatrics - Sleep Medicine
Location	3181 Sw Sam Jackson Park 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: 1326258773
Provider Enumeration Date: 05/23/2007
Last Update Date: 09/27/2012

Medicare PECOS Information:

PECOS PAC ID: 0244371284
Enrollment ID: I20100112000839

Medical Identifiers

Medical identifiers for Elizabeth Rachel Super such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326258773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0012X	Pediatrics - Sleep Medicine	MD28247 (Oregon)	Primary
208000000X	Pediatrics	MD60151864 (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. Elizabeth Rachel Super allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Elizabeth Rachel Super 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
Elizabeth Rachel Super, MD 3181 Sw Sam Jackson Park Rd, Dc10s, Portland, OR 97239-3011 Ph: (503) 494-8311	Elizabeth Rachel Super, MD 3181 Sw Sam Jackson Park Rd, Dc10s, Portland, OR 97239-3011 Ph: (503) 494-8311

Reviews and Comments

Pediatrics Doctors in Portland, OR

Dr. Sharon Sarah Green Gorini, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239 Phone: 503-418-5170
Megan Furnari, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239 Phone: 503-494-8211
Bruce Alan Boston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1926
Dr. Karin Ann Selva, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227 Phone: 503-413-1600
Dr. Peter H Chang, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 250, Portland, OR 97227 Phone: 503-280-3418 Fax: 503-284-7885
George W Bengtson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4212 Ne Broadway St, Portland, OR 97213 Phone: 503-249-8787
Dr. Amanda K Blockinger Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217 Phone: 503-595-9300

Elizabeth Rachel Super, MD - Medicare Pediatrics in Portland, OR