Rex Holliday, MD in Portland, OR

Rex Holliday, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8311.

Rex Holliday is licensed to practice in Oregon (license number MD192271) 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 1619387719.

Contact Information

	Rex Holliday, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-8311
	Not Available

Map and Direction

Physician's Profile

Full Name	Rex Holliday
Gender	Male
Speciality	Radiology - Diagnostic Radiology
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: 1619387719
Provider Enumeration Date: 04/29/2014
Last Update Date: 06/21/2019

Medicare PECOS Information:

PECOS PAC ID: 5698993012
Enrollment ID: I20220624000241

Medical Identifiers

Medical identifiers for Rex Holliday such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619387719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD192271 (Oregon)	Primary
2085R0202X	Radiology - Diagnostic Radiology	ME125777 (Florida)	Secondary

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. Rex Holliday allows following entities to bill medicare on his behalf.

Entity Name	Adi Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083266761 PECOS PAC ID: 7911236427 Enrollment ID: O20220614002905

Entity Name	Middle Tennessee Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770667289 PECOS PAC ID: 5698743706 Enrollment ID: O20220628001210

Entity Name	Clarksville Imaging Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043285539 PECOS PAC ID: 6709842529 Enrollment ID: O20220628002205

Entity Name	Nol Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003910688 PECOS PAC ID: 5890608186 Enrollment ID: O20220721002279

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. Rex Holliday 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
Rex Holliday, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: () -	Rex Holliday, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8311

Reviews and Comments

Radiology Doctors in Portland, OR

Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903
Erik W Foss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-2570
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990

Rex Holliday, MD - Medicare Radiology in Portland, OR