Mark Bollman, MD in Portland, OR - Medicare Pediatrics

Mark Bollman, MD is a medicare enrolled "Pediatrics - Hospice And Palliative Medicine" physician in Portland, Oregon. His current practice location is 1015 Nw 22nd Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 220-1000.

Mark Bollman is licensed to practice in Texas (license number R3478) 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 1164841219.

Contact Information

	Mark Bollman, MD
	1015 Nw 22nd Ave, Portland, OR 97210-3025
	(503) 220-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Bollman
Gender	Male
Speciality	Pediatrics - Hospice And Palliative Medicine
Location	1015 Nw 22nd Ave, 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: 1164841219
Provider Enumeration Date: 04/15/2014
Last Update Date: 09/13/2018

Medicare PECOS Information:

PECOS PAC ID: 2365711850
Enrollment ID: I20181030001550

Medical Identifiers

Medical identifiers for Mark Bollman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164841219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080H0002X	Pediatrics - Hospice And Palliative Medicine	R3478 (Texas)	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. Mark Bollman allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

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. Mark Bollman 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
Mark Bollman, MD 1015 Nw 22nd Ave, Portland, OR 97210-3025 Ph: (503) 413-3900	Mark Bollman, MD 1015 Nw 22nd Ave, Portland, OR 97210-3025 Ph: (503) 220-1000

Reviews and Comments

Pediatrics Doctors in Portland, OR

Dr. Sharon Sarah Green Gorini, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239 Phone: 503-418-5170
Megan Furnari, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239 Phone: 503-494-8211
Bruce Alan Boston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1926
Dr. Karin Ann Selva, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227 Phone: 503-413-1600
Dr. Peter H Chang, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 250, Portland, OR 97227 Phone: 503-280-3418 Fax: 503-284-7885
George W Bengtson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4212 Ne Broadway St, Portland, OR 97213 Phone: 503-249-8787
Dr. Amanda K Blockinger Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217 Phone: 503-595-9300

Mark Bollman, MD - Medicare Pediatrics in Portland, OR