Rachna Mamidi, MD in Portland, OR

Rachna Mamidi, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-8211.

Rachna Mamidi is licensed to practice in Oregon (license number MD198545) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255862660.

Contact Information

	Rachna Mamidi, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-8211
	Not Available

Map and Direction

Physician's Profile

Full Name	Rachna Mamidi
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
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: 1255862660
Provider Enumeration Date: 03/27/2017
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 2163794181
Enrollment ID: I20200528001436

Medical Identifiers

Medical identifiers for Rachna Mamidi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255862660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD61575531 (Washington)	Secondary
208000000X	Pediatrics	MD198545 (Oregon)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	MD198545 (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. Rachna Mamidi allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Rachna Mamidi 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
Rachna Mamidi, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8211	Rachna Mamidi, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8211

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

Rachna Mamidi, MD - Medicare Pediatrics in Portland, OR