Thomas Donald Wynne, MD - Medicare Radiation Oncology in Portland, OR

Thomas Donald Wynne, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Portland, Oregon. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 3620 N Interstate Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 280-2931.

Thomas Donald Wynne is licensed to practice in Oregon (license number MD19191) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417945106.

Contact Information

Thomas Donald Wynne, MD
3620 N Interstate Ave,
Portland, OR 97227-1106
(503) 280-2931
(503) 280-2938

Map and Direction




Physician's Profile

Full NameThomas Donald Wynne
GenderMale
SpecialityRadiation Oncology
Experience34 Years
Location3620 N Interstate Ave, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas Donald Wynne attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1990
  NPI Data:
  • NPI Number: 1417945106
  • Provider Enumeration Date: 10/07/2005
  • Last Update Date: 02/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274529268
  • Enrollment ID: I20080428000379

Medical Identifiers

Medical identifiers for Thomas Donald Wynne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417945106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology MD19191 (Oregon)Primary
2085R0203XRadiology - Therapeutic Radiology MD19191 (Oregon)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301484

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. Thomas Donald Wynne allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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. Thomas Donald Wynne 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
Thomas Donald Wynne, MD
3620 N Interstate Ave,
Portland, OR 97227-1106

Ph: (503) 280-2931
Thomas Donald Wynne, MD
3620 N Interstate Ave,
Portland, OR 97227-1106

Ph: (503) 280-2931

Reviews and Comments


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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.

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