Brendan Cargill Carroll, MD - Medicare Obstetrics & Gynecology in Portland, OR

Brendan Cargill Carroll, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Oregon. His current practice location is 4805 Ne Glisan St, Unit 3k, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-6150.

Brendan Cargill Carroll is licensed to practice in Oregon (license number MD21047) 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 1669472775.

Contact Information

Brendan Cargill Carroll, MD
4805 Ne Glisan St, Unit 3k,
Portland, OR 97213-2933
(503) 215-6150
Not Available



Physician's Profile

Full NameBrendan Cargill Carroll
GenderMale
SpecialityObstetrics & Gynecology
Location4805 Ne Glisan St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669472775
  • Provider Enumeration Date: 07/29/2005
  • Last Update Date: 02/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678656444
  • Enrollment ID: I20080303000367

Medical Identifiers

Medical identifiers for Brendan Cargill Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669472775NPI-NPPES
130056MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD21047 (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. Brendan Cargill Carroll allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652

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› Verified 7 days ago

Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768

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› Verified 7 days ago

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. Brendan Cargill Carroll 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
Brendan Cargill Carroll, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Brendan Cargill Carroll, MD
4805 Ne Glisan St, Unit 3k,
Portland, OR 97213-2933

Ph: (503) 215-6150

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VeriChip Corporation ("VeriChip") and its development partner RECEPTORS LLC, a technology company whose AFFINITY by DESIGN™ chemistry platform can be applied to the development of selective binding products, announced today that VeriChip plans to fund its existing partnership with RECEPTORS to continue the development of a triage detection system for detection of the H1N1 virus.

Orthopaedic medical device technologies that offer greater clinical benefits expected to succeed

Current users of medical device technologies for orthopaedic applications seek systems that offer maximum comfort while requiring minimum physical supervision. This is driving the market to continuously evolve technologies that use radically different approaches or make significant improvements to existing products.

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› Verified 7 days ago


Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216
Phone: 503-261-4423    Fax: 503-261-4424
John Gilbert Buckmaster, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4200    
Darlene J Dodson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225
Phone: 503-216-3388    
Antonio E Frias, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-4200    Fax: 503-494-4473
Sig-linda Jacobson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5006 Sw Martha St, Portland, OR 97221
Phone: 503-806-7854    
Laila Raad Sillay, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225
Phone: 503-445-0590    
Edward Paul Kirk, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4500    

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