Pasala Sankaran Ravichandran, MD | |
2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | |
(503) 226-6321 | |
(503) 227-3422 |
Full Name | Pasala Sankaran Ravichandran |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 47 Years |
Location | 2222 Nw Lovejoy St, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487669990 | NPI | - | NPPES |
1487669990 | Medicaid | WA | |
133969 | Medicaid | OR | |
0277792 | Other | WA | DEPT OF LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD24595 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Virginia Mason Medical Center | Seattle, WA | Hospital |
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
Virginia Mason Medical Center | 9830002617 | 834 |
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 |
Entity Name | Portland Adventist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131 |
Mailing Address | Practice Location Address |
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Pasala Sankaran Ravichandran, MD 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 Ph: (503) 226-6321 | Pasala Sankaran Ravichandran, MD 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 Ph: (503) 226-6321 |
Eric Blaine Kirker, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd Ste 593, Portland, OR 97225 Phone: 503-216-8670 | |
Thomas Alexis Molloy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 253-272-7777 Fax: 253-426-4142 | |
Albert Henry Krause, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210 Phone: 503-226-6321 Fax: 503-227-3422 | |
Mithran Suresh Sukumar, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 | |
Dr. Frederick Anthony Tibayan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code: L353, Portland, OR 97239 Phone: 503-494-7820 | |
Dr. Kai Erik Engstad, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210 Phone: 503-226-6321 Fax: 503-227-3422 | |
Dr. Brandon H Tieu, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, L353, Portland, OR 97239 Phone: 503-494-7820 |