Jon Warren Loo, MD - Medicare Diagnostic Radiology in Portland, OR

Jon Warren Loo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Portland, Oregon. He went to Medical College Of Wisconsin and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice South Coast Radiological Medical Group Inc and his current practice location is 3181 Sw Sam Jackson Park Rd, L605, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-7660.

Jon Warren Loo is licensed to practice in California (license number A123551) 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 1871755017.

Contact Information

Jon Warren Loo, MD
3181 Sw Sam Jackson Park Rd, L605,
Portland, OR 97239-3011
(503) 494-7660
Not Available

Map and Direction




Physician's Profile

Full NameJon Warren Loo
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jon Warren Loo attended and graduated from Medical College Of Wisconsin in 2008
  NPI Data:
  • NPI Number: 1871755017
  • Provider Enumeration Date: 06/30/2008
  • Last Update Date: 09/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0244408722
  • Enrollment ID: I20130617000354

Medical Identifiers

Medical identifiers for Jon Warren Loo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871755017NPI-NPPES
0A1235510MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A123551 (California)Primary
2085R0204XRadiology - Vascular & Interventional Radiology PG167394 (Oregon)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorialcare Orange Coast Medical CenterFountain valley, CAHospital
Memorialcare Saddleback Medical CenterLaguna hills, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Coast Radiological Medical Group Inc074922575312

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. Jon Warren Loo allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NameTruxtun Radiology Medical Group Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548265036
PECOS PAC ID: 5698714582
Enrollment ID: O20050429000546
Entity NameSouth Coast Radiological Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902858384
PECOS PAC ID: 0749225753
Enrollment ID: O20050621000552
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameVallejo Open Mri Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164478277
PECOS PAC ID: 9133132046
Enrollment ID: O20060719000128
Entity NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20070507000122
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003965997
PECOS PAC ID: 7911099346
Enrollment ID: O20070815000403
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598

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. Jon Warren Loo 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
Jon Warren Loo, MD
3181 Sw Sam Jackson Park Rd, L605,
Portland, OR 97239-3011

Ph: (503) 494-7660
Jon Warren Loo, MD
3181 Sw Sam Jackson Park Rd, L605,
Portland, OR 97239-3011

Ph: (503) 494-7660

Reviews and Comments


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D. Bradley Koslin, MD
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