Patan Gultawatvichai, MD in Portland, OR - Medicare Hematology/oncology

Patan Gultawatvichai, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Portland, Oregon. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Reliant Medical Group Inc and his current practice location is 9495 Sw Locust St Ste G, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (971) 314-4522.

Patan Gultawatvichai is licensed to practice in Massachusetts (license number 274829) 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 1720335987.

Contact Information

	Patan Gultawatvichai, MD
	9495 Sw Locust St Ste G, Portland, OR 97223-6683
	(971) 314-4522
	(971) 314-4527

Map and Direction

Physician's Profile

Full Name	Patan Gultawatvichai
Gender	Male
Speciality	Hematology/oncology
Experience	16 Years
Location	9495 Sw Locust St Ste G, 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:

Patan Gultawatvichai graduated from medical school in 2008

NPI Data:

NPI Number: 1720335987
Provider Enumeration Date: 08/07/2012
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 9931348695
Enrollment ID: I20180827002355

Medical Identifiers

Medical identifiers for Patan Gultawatvichai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720335987	NPI	-	NPPES
110115607A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	274829 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Healthalliance Hospitals, Inc	Leominster, MA	Hospital
Umass Memorial Medical Center/university Campus	Worcester, MA	Hospital
St Vincent Hospital	Worcester, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Reliant Medical Group Inc	5597755322	546

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. Patan Gultawatvichai allows following entities to bill medicare on his behalf.

Entity Name	Reliant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650

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. Patan Gultawatvichai 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
Patan Gultawatvichai, MD 5 Neponset St, Worcester, MA 01606-2714 Ph: () -	Patan Gultawatvichai, MD 9495 Sw Locust St Ste G, Portland, OR 97223-6683 Ph: (971) 314-4522

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Patan Gultawatvichai, MD - Medicare Hematology/oncology in Portland, OR