Jordan Blake Johnson, MD in Portland, OR

Jordan Blake Johnson, MD is a medicare enrolled "Anesthesiology" physician in Portland, Oregon. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2007 and has 17 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Providence Health And Service- Washington and his current practice location is 707 Sw Washington St Ste 700, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 299-9906.

Jordan Blake Johnson is licensed to practice in Oregon (license number MD177889) 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 1629336029.

Contact Information

	Jordan Blake Johnson, MD
	707 Sw Washington St Ste 700, Portland, OR 97205-3523
	(503) 299-9906
	(503) 225-9002

Map and Direction

Physician's Profile

Full Name	Jordan Blake Johnson
Gender	Male
Speciality	Anesthesiology
Experience	17 Years
Location	707 Sw Washington St Ste 700, 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:

Jordan Blake Johnson attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2007

NPI Data:

NPI Number: 1629336029
Provider Enumeration Date: 04/24/2012
Last Update Date: 09/24/2020

Medicare PECOS Information:

PECOS PAC ID: 5799930368
Enrollment ID: I20190722002687

Medical Identifiers

Medical identifiers for Jordan Blake Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629336029	NPI	-	NPPES
500654900	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MD177889 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Mary Medical Center	Walla walla, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Service- Washington	0840279758	156

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. Jordan Blake Johnson allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Service- Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201

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. Jordan Blake Johnson 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
Jordan Blake Johnson, MD Po Box 35147, #1801, Seattle, WA 98124-5147 Ph: (503) 299-9906	Jordan Blake Johnson, MD 707 Sw Washington St Ste 700, Portland, OR 97205-3523 Ph: (503) 299-9906

Reviews and Comments

Anesthesiology Doctors in Portland, OR

Dr. Frank E Palmrose, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St, Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002
Dr. Thomas F Schrattenholzer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1130 Nw 22nd Ave Ste 345, Portland, OR 97210 Phone: 503-413-7513 Fax: 503-413-7503
Dr. Lee E. Dorfman, DO, MS Anesthesiology Medicare: Medicare Enrolled Practice Location: 120 Nw 14th Ave, Suite 300, Portland, OR 97209 Phone: 503-299-9906 Fax: 503-225-9002
Grace Chien, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262
Dr. Diane Miller, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland Vamc, P3 Anes, Portland, OR 97239 Phone: 503-220-8262 Fax: 503-721-7859
Dr. Jeff Chen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 Fax: 503-494-8368
Dr. Jeffrey Philip Mako, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St, Suite 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002

Jordan Blake Johnson, MD - Medicare Anesthesiology in Portland, OR