Terena D Gimmillaro, DO - Medicare Family Practice in Portland, OR

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Terena D Gimmillaro, DO is a medicare enrolled "Family Medicine" physician in Portland, Oregon. She graduated from medical school in 2013 and has 11 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 4805 Ne Glisan St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-4860.

Terena D Gimmillaro is licensed to practice in Oregon (license number DO173630) 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 1235574955.

Contact Information

Terena D Gimmillaro, DO
4805 Ne Glisan St,
Portland, OR 97213-2933
(503) 215-4860
Not Available

Map and Direction




Physician's Profile

Full NameTerena D Gimmillaro
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location4805 Ne Glisan St, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Terena D Gimmillaro graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1235574955
  • Provider Enumeration Date: 05/08/2013
  • Last Update Date: 10/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5395970214
  • Enrollment ID: I20150908001807

Medical Identifiers

Medical identifiers for Terena D Gimmillaro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235574955NPI-NPPES
500701579MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine DO173630 (Oregon)Secondary
207Q00000XFamily Medicine DO173630 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Portland Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081344

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. Terena D Gimmillaro allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameUbh Of Oregon Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528231826
PECOS PAC ID: 4981772639
Enrollment ID: O20091007000334
Entity NameRecovery Works Nw Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083010094
PECOS PAC ID: 5991049835
Enrollment ID: O20181204003413
Entity NameWorkit Health Mi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730754102
PECOS PAC ID: 6406101625
Enrollment ID: O20220226000148

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. Terena D Gimmillaro 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 AddressPractice Location Address
Terena D Gimmillaro, DO
Po Box 3158,
Portland, OR 97208-3158

Ph: () -		Terena D Gimmillaro, DO
4805 Ne Glisan St,
Portland, OR 97213-2933

Ph: (503) 215-4860

Reviews and Comments


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Brian Michael Lindeman, M.D.
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Dr. Timothy P Janzen, M.D.
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Alison Mitchell, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.