Justin Pavlovich, MD in Tigard, OR - Medicare Otolaryngology

Justin Pavlovich, MD is a medicare enrolled "Otolaryngology" physician in Tigard, Oregon. His current practice location is 9250 Sw Hall Blvd, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 293-0161.

Justin Pavlovich is licensed to practice in Oregon (license number 29320) 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 1528238805.

Contact Information

	Justin Pavlovich, MD
	9250 Sw Hall Blvd, Tigard, OR 97223-6857
	(503) 293-0161
	(503) 452-3213

Map and Direction

Physician's Profile

Full Name	Justin Pavlovich
Gender	Male
Speciality	Otolaryngology
Location	9250 Sw Hall Blvd, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528238805
Provider Enumeration Date: 03/03/2008
Last Update Date: 11/17/2020

Medicare PECOS Information:

PECOS PAC ID: 7810025046
Enrollment ID: I20100510000527

Medical Identifiers

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

Identifier	Type	State	Issuer
1528238805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	57.006965 (Ohio)	Secondary
207Y00000X	Otolaryngology	29320 (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. Justin Pavlovich allows following entities to bill medicare on his behalf.

Entity Name	Portland Clinic
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1427144336 PECOS PAC ID: 8224942867 Enrollment ID: O20040417000099

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 Pavlovich 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 Pavlovich, MD 800 Sw 13th Ave, Portland, OR 97205-1902 Ph: (503) 221-0161	Justin Pavlovich, MD 9250 Sw Hall Blvd, Tigard, OR 97223-6857 Ph: (503) 293-0161

Reviews and Comments

Otolaryngology Doctors in Tigard, OR

Dr. Steven Gabel, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 12115 Sw 70th Ave Ste 200, Tigard, OR 97223 Phone: 503-693-1118 Fax: 503-893-3127
Ertan Raif Esmer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 Fax: 503-452-3200
Dr. Shelby Gates Topp, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161

Justin Pavlovich, MD - Medicare Otolaryngology in Tigard, OR