Gregg O Coodley, MD in Portland, OR - Medicare Internal Medicine

Gregg O Coodley, MD is a medicare enrolled "Internal Medicine" physician in Portland, Oregon. He went to University Of California, San Diego School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Fanno Creek Clinic Llc and his current practice location is 2400 Sw Vermont St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 452-0915.

Gregg O Coodley is licensed to practice in Oregon (license number MD16827) 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 1871593491.

Contact Information

	Gregg O Coodley, MD
	2400 Sw Vermont St, Portland, OR 97219-1940
	(503) 452-0915
	(503) 768-9232

Map and Direction

Physician's Profile

Full Name	Gregg O Coodley
Gender	Male
Speciality	Internal Medicine
Experience	39 Years
Location	2400 Sw Vermont St, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gregg O Coodley attended and graduated from University Of California, San Diego School Of Medicine in 1985

NPI Data:

NPI Number: 1871593491
Provider Enumeration Date: 07/26/2005
Last Update Date: 10/16/2007

Medicare PECOS Information:

PECOS PAC ID: 1153446836
Enrollment ID: I20100917001001

Medical Identifiers

Medical identifiers for Gregg O Coodley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871593491	NPI	-	NPPES
011812	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD16827 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fanno Creek Clinic Llc	0042100521	21

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. Gregg O Coodley allows following entities to bill medicare on his behalf.

Entity Name	Fanno Creek Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609876705 PECOS PAC ID: 0042100521 Enrollment ID: O20040318000244

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. Gregg O Coodley 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
Gregg O Coodley, MD 2400 Sw Vermont St, Portland, OR 97219-1940 Ph: (503) 452-0915	Gregg O Coodley, MD 2400 Sw Vermont St, Portland, OR 97219-1940 Ph: (503) 452-0915

Reviews and Comments

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Gregg O Coodley, MD - Medicare Internal Medicine in Portland, OR