Dr Tamara Renee Sanderson Dissanayake, MD in Portland, OR

Dr Tamara Renee Sanderson Dissanayake, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. Her current practice location is 703 Ne Hancock St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 230-9875.

Dr Tamara Renee Sanderson Dissanayake is licensed to practice in Oregon (license number MD175860) 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 1457771305.

Contact Information

	Dr Tamara Renee Sanderson Dissanayake, MD
	703 Ne Hancock St, Portland, OR 97212-3955
	(503) 230-9875
	(503) 331-3441

Map and Direction

Physician's Profile

Full Name	Dr Tamara Renee Sanderson Dissanayake
Gender	Female
Speciality	Family Medicine
Location	703 Ne Hancock 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: 1457771305
Provider Enumeration Date: 04/18/2014
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5193945806
Enrollment ID: I20221215003161

Medical Identifiers

Medical identifiers for Dr Tamara Renee Sanderson Dissanayake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457771305	NPI	-	NPPES
500672900	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61333136 (Washington)	Secondary
207Q00000X	Family Medicine	MD175860 (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. Dr Tamara Renee Sanderson Dissanayake allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Entity Name	Native American Rehabilitation Assoc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396734364 PECOS PAC ID: 2668361585 Enrollment ID: O20040310001435

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. Dr Tamara Renee Sanderson Dissanayake 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
Dr Tamara Renee Sanderson Dissanayake, MD 1776 Sw Madison St, Portland, OR 97205-1715 Ph: (503) 367-9089	Dr Tamara Renee Sanderson Dissanayake, MD 703 Ne Hancock St, Portland, OR 97212-3955 Ph: (503) 230-9875

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

Dr Tamara Renee Sanderson Dissanayake, MD - Medicare Family Medicine in Portland, OR