Shoshana Maxwell, DO in Portland, OR - Medicare Family Medicine

Shoshana Maxwell, DO is a medicare enrolled "Family Medicine" physician in Portland, Oregon. Her current practice location is 12360 E Burnside St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 279-4800.

Shoshana Maxwell is licensed to practice in Oregon (license number DO193262) 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 1669820080.

Contact Information

	Shoshana Maxwell, DO
	12360 E Burnside St, Portland, OR 97233-1042
	(971) 279-4800
	(971) 279-2051

Map and Direction

Physician's Profile

Full Name	Shoshana Maxwell
Gender	Female
Speciality	Family Medicine
Location	12360 E Burnside St, 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: 1669820080
Provider Enumeration Date: 05/26/2016
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0840586012
Enrollment ID: I20190930001017

Medical Identifiers

Medical identifiers for Shoshana Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669820080	NPI	-	NPPES
2061406	Medicaid	WA
500767655	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OP60946753 (Washington)	Secondary
207Q00000X	Family Medicine	DO193262 (Oregon)	Primary

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. Shoshana Maxwell 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
Shoshana Maxwell, DO 1776 Sw Madison St, Portland, OR 97205-1715 Ph: (503) 224-1044	Shoshana Maxwell, DO 12360 E Burnside St, Portland, OR 97233-1042 Ph: (971) 279-4800

Reviews and Comments

Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779

Shoshana Maxwell, DO - Medicare Family Medicine in Portland, OR