Outside In - Medicare Primary Care in Portland, OR

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Outside In is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Portland, Oregon. The current practice location for Outside In is 1226 Sw 12th Ave, Portland, Oregon. For appointments, you can reach them via phone at (503) 535-3898. The mailing address for Outside In is 1132 Sw 13th Ave, Portland, Oregon and phone number is (503) 535-3800.

Outside In is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477005619. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 535-3898.

Contact Information

Outside In
1226 Sw 12th Ave
Portland
OR 97205-2029
(503) 535-3898
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameOutside In
SpecialityClinic/Center
Location1226 Sw 12th Ave, Portland, Oregon
Authorized Official Name and PositionPatricia Patron (EXECUTIVE DIRECTOR)
Authorized Official Contact5035353801
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Outside In
1132 Sw 13th Ave
Portland
OR 97205-1703

Ph: (503) 535-3800		Outside In
1226 Sw 12th Ave
Portland
OR 97205-2029

Ph: (503) 535-3898

NPI Details:

NPI Number1477005619
Provider Enumeration Date11/03/2016
Last Update Date11/08/2019

Medicare PECOS Information:

Medicare PECOS PAC ID9638256662
Medicare Enrollment IDO20170919002919

Medical Identifiers

Medical identifiers for Outside In such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477005619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Outside In acts as a billing entity for following providers:
Provider NameDiana Antoniskis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922116953
PECOS PAC ID: 7911940325
Enrollment ID: I20050607000572
Provider NameClifford W Sells
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669488268
PECOS PAC ID: 2062580327
Enrollment ID: I20081014000448
Provider NameArsheeya Mashaw
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760683536
PECOS PAC ID: 0042385296
Enrollment ID: I20160802002511
Provider NameCarrie M Kent
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679839302
PECOS PAC ID: 0840519328
Enrollment ID: I20170727002122
Provider NameIsabelle T Trepiccione
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376961193
PECOS PAC ID: 3173840022
Enrollment ID: I20181217000675
Provider NameFlortasha Laray Rodgers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043559529
PECOS PAC ID: 2769729540
Enrollment ID: I20190429002563
Provider NameRenell N Kumeh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982247458
PECOS PAC ID: 3072941277
Enrollment ID: I20200323001819
Provider NameSara E Wohlgemuth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699291708
PECOS PAC ID: 3274931191
Enrollment ID: I20211007001145
Provider NameRachel K Jackson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831625011
PECOS PAC ID: 6901176759
Enrollment ID: I20211026002758
Provider NameMonica N Ghali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326789744
PECOS PAC ID: 7618342593
Enrollment ID: I20230406000473
Provider NameJulia S Dodd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518656032
PECOS PAC ID: 2062860547
Enrollment ID: I20231121003145
Provider NameJanet L Bardossi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285049031
PECOS PAC ID: 9335597947
Enrollment ID: I20240304002035

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.