Randolph K Cribbs, MD in Clackamas, OR

Randolph K Cribbs, MD is a medicare enrolled "Surgery" physician in Clackamas, Oregon. His current practice location is 9290 Se Sunnybrook Blvd Ste 220, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-2890.

Randolph K Cribbs is licensed to practice in Oregon (license number MD168029) 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 1770675563.

Contact Information

	Randolph K Cribbs, MD
	9290 Se Sunnybrook Blvd Ste 220, Clackamas, OR 97015
	(503) 215-2890
	Not Available

Map and Direction

Physician's Profile

Full Name	Randolph K Cribbs
Gender	Male
Speciality	Surgery
Location	9290 Se Sunnybrook Blvd Ste 220, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770675563
Provider Enumeration Date: 09/29/2006
Last Update Date: 02/19/2021

Medicare PECOS Information:

PECOS PAC ID: 3274614169
Enrollment ID: I20180809005374

Medical Identifiers

Medical identifiers for Randolph K Cribbs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770675563	NPI	-	NPPES
500679432	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD168029 (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. Randolph K Cribbs allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

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. Randolph K Cribbs 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
Randolph K Cribbs, MD Po Box 3158, Portland, OR 97208-3158 Ph: () -	Randolph K Cribbs, MD 9290 Se Sunnybrook Blvd Ste 220, Clackamas, OR 97015 Ph: (503) 215-2890

Reviews and Comments

Surgery Doctors in Clackamas, OR

Dr. James W Dennis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435
Mary Elizabeth Giswold, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3099
Daniel Alan Ladizinsky, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Kasier Permanente Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-571-3162 Fax: 503-571-3069
Dr. Nicholas Petrochko Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8984
Dr. Robert Ludemann, M.D. PH.D. Surgery Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3066 Fax: 503-571-3069
James A Schwarz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435
Charles Youngjoong Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-786-8435

Randolph K Cribbs, MD - Medicare Surgery in Clackamas, OR