Justin John Leitenberger, MD in Portland, OR - Medicare Micrographic Dermatologic Surgery (mds)

Justin John Leitenberger, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Portland, Oregon. He went to University Of Texas Medical School At Houston and graduated in 2008 and has 16 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Oregon Health And Sciences University/university Medical Group and his current practice location is 3181 Sw Sam Jackson Park Rd, Ch16d, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8211.

Justin John Leitenberger is licensed to practice in Oregon (license number MD157327) 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 1508027616.

Contact Information

	Justin John Leitenberger, MD
	3181 Sw Sam Jackson Park Rd, Ch16d, Portland, OR 97239-3011
	(503) 494-8211
	Not Available

Map and Direction

Physician's Profile

Full Name	Justin John Leitenberger
Gender	Male
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	16 Years
Location	3181 Sw Sam Jackson Park Rd, 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:

Justin John Leitenberger attended and graduated from University Of Texas Medical School At Houston in 2008

NPI Data:

NPI Number: 1508027616
Provider Enumeration Date: 06/20/2008
Last Update Date: 02/15/2022

Medicare PECOS Information:

PECOS PAC ID: 4981860624
Enrollment ID: I20120724000509

Medical Identifiers

Medical identifiers for Justin John Leitenberger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508027616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	BP10032351 (Texas)	Secondary
207N00000X	Dermatology	MD157327 (Oregon)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Oregon)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	MD157327 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohsu Hospital And Clinics	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Health And Sciences University/university Medical Group	4880760107	1479

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. Justin John Leitenberger allows following entities to bill medicare on his behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Justin John Leitenberger 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
Justin John Leitenberger, MD 3181 Sw Sam Jackson Park Rd, Ch16d, Portland, OR 97239-3011 Ph: (503) 494-8211	Justin John Leitenberger, MD 3181 Sw Sam Jackson Park Rd, Ch16d, Portland, OR 97239-3011 Ph: (503) 494-8211

Reviews and Comments

Dermatology Doctors in Portland, OR

Dr. Alison Marie Small, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-418-3376
Milie Fang, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375
Bert G Tavelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947
Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274
Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211
Oluwadamilare Olalekan Ajayi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-418-3376 Fax: 503-494-6968
Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504

Justin John Leitenberger, MD - Medicare Micrographic Dermatologic Surgery (mds) in Portland, OR