Grace Isabelle Judd, MD in Portland, OR - Medicare Student in an Organized Health Care Education/Training Program

Grace Isabelle Judd, MD - Medicare Student in an Organized Health Care Education/Training Program in Portland, OR

Grace Isabelle Judd, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. Her current practice location is 5050 Ne Hoyt St Ste 540, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-6600.

Grace Isabelle Judd is licensed to practice in * (Not Available) (license number ) 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 1275094104.

Contact Information

	Grace Isabelle Judd, MD
	5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985
	(503) 215-6600
	Not Available

Map and Direction

Physician's Profile

Full Name	Grace Isabelle Judd
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	5050 Ne Hoyt St Ste 540, 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: 1275094104
Provider Enumeration Date: 03/25/2019
Last Update Date: 08/11/2021

Medicare PECOS Information:

PECOS PAC ID: 0446651772
Enrollment ID: I20240614002089

Medical Identifiers

Medical identifiers for Grace Isabelle Judd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275094104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	PG204649 (Oregon)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Grace Isabelle Judd 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
Grace Isabelle Judd, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 717-7147	Grace Isabelle Judd, MD 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 Ph: (503) 215-6600