Dr Colin Matthew Mizuo, DPM - Medicare Podiatrist in Portland, OR

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Dr Colin Matthew Mizuo, DPM is a medicare enrolled "Podiatrist" provider in Portland, Oregon. His current practice location is 1827 Ne 44th Ave Ste 100, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 284-2000.

Dr Colin Matthew Mizuo is licensed to practice in Oregon (license number DP221624) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427410679.

Contact Information

Dr Colin Matthew Mizuo, DPM
1827 Ne 44th Ave Ste 100,
Portland, OR 97213-1443
(503) 284-2000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Colin Matthew Mizuo
GenderMale
SpecialityPodiatrist
Location1827 Ne 44th Ave Ste 100, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427410679
  • Provider Enumeration Date: 03/27/2016
  • Last Update Date: 11/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668870452
  • Enrollment ID: I20221129000095

Medical Identifiers

Medical identifiers for Dr Colin Matthew Mizuo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427410679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist DP221624 (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 Colin Matthew Mizuo allows following entities to bill medicare on his behalf.
Provider NameElliot R Goldstein Md & Joel R Schulman Md Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164488300
PECOS PAC ID: 9335120278
Enrollment ID: O20040526001643
Provider NameShady Grove Podiatry Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1518083443
PECOS PAC ID: 1052360534
Enrollment ID: O20050121000777
Provider NamePrivia Medical Group Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298
Provider NameMetro Orthopedics & Sports Therapy
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346427564
PECOS PAC ID: 5395770408
Enrollment ID: O20050928000186

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 Colin Matthew Mizuo 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
Dr Colin Matthew Mizuo, DPM
1550 Nw Naito Pkwy Apt 225,
Portland, OR 97209-4179

Ph: (214) 629-1409		Dr Colin Matthew Mizuo, DPM
1827 Ne 44th Ave Ste 100,
Portland, OR 97213-1443

Ph: (503) 284-2000

Reviews and Comments


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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.