Jason Michael Polder, MD - Medicare Radiology in Portland, OR

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Jason Michael Polder, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Portland, Oregon. His current practice location is 9205 Sw Barnes Rd Ste 150, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-4830.

Jason Michael Polder is licensed to practice in Oregon (license number 219506) 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 1144751470.

Contact Information

Jason Michael Polder, MD
9205 Sw Barnes Rd Ste 150,
Portland, OR 97225-6603
(503) 216-4830
(503) 216-4850

Map and Direction




Physician's Profile

Full NameJason Michael Polder
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
Location9205 Sw Barnes Rd Ste 150, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144751470
  • Provider Enumeration Date: 03/27/2017
  • Last Update Date: 08/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709156995
  • Enrollment ID: I20230713001109

Medical Identifiers

Medical identifiers for Jason Michael Polder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144751470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 219503 (Oregon)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 219506 (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. Jason Michael Polder allows following entities to bill medicare on his behalf.
Entity NameFair Oaks Imaging Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063437903
PECOS PAC ID: 7113918426
Enrollment ID: O20040524000887
Entity NameMri Of Reston Limited Partnership
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164447025
PECOS PAC ID: 3476544701
Enrollment ID: O20040524000970
Entity NamePet Of Reston, Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922024041
PECOS PAC ID: 7214975978
Enrollment ID: O20050422000164
Entity NameReston Radiology Consultants, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235307034
PECOS PAC ID: 1557436730
Enrollment ID: O20080822000340

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. Jason Michael Polder 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
Jason Michael Polder, MD
Po Box 25180,
Portland, OR 97298-0180

Ph: (503) 797-6356		Jason Michael Polder, MD
9205 Sw Barnes Rd Ste 150,
Portland, OR 97225-6603

Ph: (503) 216-4830

Reviews and Comments


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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.