Shidrokh Taeidi, DO in Hillsboro, OR - Medicare Family Practice

Shidrokh Taeidi, DO is a medicare enrolled "Family Medicine" physician in Hillsboro, Oregon. She went to At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 10670 Ne Cornell Rd Ste 300, Hillsboro, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-9300.

Shidrokh Taeidi is licensed to practice in Oregon (license number DO198909) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780110205.

Contact Information

	Shidrokh Taeidi, DO
	10670 Ne Cornell Rd Ste 300, Hillsboro, OR 97124-9221
	(503) 216-9300
	Not Available

Map and Direction

Physician's Profile

Full Name	Shidrokh Taeidi
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	10670 Ne Cornell Rd Ste 300, Hillsboro, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shidrokh Taeidi attended and graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2017

NPI Data:

NPI Number: 1780110205
Provider Enumeration Date: 05/03/2017
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 5698046662
Enrollment ID: I20200925000953

Medical Identifiers

Medical identifiers for Shidrokh Taeidi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780110205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OL60769782 (Washington)	Secondary
207Q00000X	Family Medicine	DO198909 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. Shidrokh Taeidi allows following entities to bill medicare on her 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. Shidrokh Taeidi 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
Shidrokh Taeidi, DO Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Shidrokh Taeidi, DO 10670 Ne Cornell Rd Ste 300, Hillsboro, OR 97124-9221 Ph: (503) 216-9300

Reviews and Comments

Family Medicine Doctors in Hillsboro, OR

Andrew G Janssen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7529 Se Tualatin Valley Hwy, Hillsboro, OR 97123 Phone: 503-681-4369
Dr. Derrick Eugene Custino, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124 Phone: 503-645-2762 Fax: 503-690-5023
Michael Powel Hicken, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5295 Ne Elam Young Pkwy, Suite 180, Hillsboro, OR 97124 Phone: 503-615-0960 Fax: 503-615-8572
Dr. Judith Marie Kemp, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6244 Ne Brighton St, Hillsboro, OR 97124 Phone: 503-615-3100 Fax: 503-615-8572
Van Anh T Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Se Oak St, Hillsboro, OR 97123 Phone: 503-216-0850
Ann G. Tseng, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124 Phone: 503-848-5861
James Houston Beckwith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7529 Se Tualatin Valley Hwy, Hillsboro, OR 97123 Phone: 503-681-4240

Shidrokh Taeidi, DO - Medicare Family Practice in Hillsboro, OR