Lyle Bruce Ham, MD in Portland, OR

Lyle Bruce Ham, MD is a medicare enrolled "Surgery" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Mc L611, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-5300.

Lyle Bruce Ham is licensed to practice in Oregon (license number MD10089) 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 1669555751.

Contact Information

	Lyle Bruce Ham, MD
	3181 Sw Sam Jackson Park Rd, Mc L611, Portland, OR 97239-3011
	(503) 494-5300
	(503) 494-6519

Map and Direction

Physician's Profile

Full Name	Lyle Bruce Ham
Gender	Male
Speciality	Surgery
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669555751
Provider Enumeration Date: 10/23/2006
Last Update Date: 01/19/2011

Medicare PECOS Information:

PECOS PAC ID: 2567459746
Enrollment ID: I20040429000051

Medical Identifiers

Medical identifiers for Lyle Bruce Ham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669555751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD10089 (Oregon)	Primary
2086S0102X	Surgery - Surgical Critical Care	MD10089 (Oregon)	Secondary

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. Lyle Bruce Ham allows following entities to bill medicare on his behalf.

Entity Name	Bay Area Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301

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. Lyle Bruce Ham 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
Lyle Bruce Ham, MD 3181 Sw Sam Jackson Park Rd, Mc L611, Portland, OR 97239-3011 Ph: (503) 494-5300	Lyle Bruce Ham, MD 3181 Sw Sam Jackson Park Rd, Mc L611, Portland, OR 97239-3011 Ph: (503) 494-5300

Reviews and Comments

Surgery Doctors in Portland, OR

Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372

Lyle Bruce Ham, MD - Medicare Surgery in Portland, OR