Emery Charles Douville, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portland, OR

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Emery Charles Douville, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Portland, Oregon. His current practice location is 5050 Ne Hoyt St, Suite 511, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 962-1020.

Emery Charles Douville is licensed to practice in Oregon (license number MD17068) 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 1306848098.

Contact Information

Emery Charles Douville, MD
5050 Ne Hoyt St, Suite 511,
Portland, OR 97213-2984
(503) 962-1020
(503) 962-1021

Map and Direction




Physician's Profile

Full NameEmery Charles Douville
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location5050 Ne Hoyt St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306848098
  • Provider Enumeration Date: 08/11/2005
  • Last Update Date: 06/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375441876
  • Enrollment ID: I20040712000608

Medical Identifiers

Medical identifiers for Emery Charles Douville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306848098NPI-NPPES
026497MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD00029081 (Washington)Secondary
208600000XSurgery MD17068 (Oregon)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) MD17068 (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. Emery Charles Douville 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

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. Emery Charles Douville 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
Emery Charles Douville, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Emery Charles Douville, MD
5050 Ne Hoyt St, Suite 511,
Portland, OR 97213-2984

Ph: (503) 962-1020

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Portland, OR

Eric Blaine Kirker, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 9427 Sw Barnes Rd Ste 593, Portland, OR 97225
Phone: 503-216-8670    
Thomas Alexis Molloy, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3303 Sw Bond Ave, Portland, OR 97239
Phone: 253-272-7777    Fax: 253-426-4142
Albert Henry Krause, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210
Phone: 503-226-6321    Fax: 503-227-3422
Mithran Suresh Sukumar, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-7820    
Dr. Frederick Anthony Tibayan, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code: L353, Portland, OR 97239
Phone: 503-494-7820    
Dr. Kai Erik Engstad, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210
Phone: 503-226-6321    Fax: 503-227-3422
Dr. Brandon H Tieu, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, L353, Portland, OR 97239
Phone: 503-494-7820    

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.