Bruce Alan Boston, MD - Medicare Pediatrics in Portland, OR

Bruce Alan Boston, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-1926.

Bruce Alan Boston is licensed to practice in Oregon (license number MD16035) 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 1003821505.

Contact Information

Bruce Alan Boston, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-1926
Not Available



Physician's Profile

Full NameBruce Alan Boston
GenderMale
SpecialityPediatrics - Pediatric Endocrinology
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003821505
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 08/13/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2668578782
  • Enrollment ID: I20070525000140

Medical Identifiers

Medical identifiers for Bruce Alan Boston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003821505NPI-NPPES
072582MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology MD16035 (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. Bruce Alan Boston allows following entities to bill medicare on his behalf.
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

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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. Bruce Alan Boston 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
Bruce Alan Boston, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: () -
Bruce Alan Boston, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-1926

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Pediatrics Doctors in Portland, OR

Dr. Sharon Sarah Green Gorini, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239
Phone: 503-418-5170    
Megan Furnari, M.D., M.S.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
Phone: 503-494-8211    
Dr. Karin Ann Selva, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227
Phone: 503-413-1600    
Dr. Peter H Chang, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 300 N Graham St Ste 250, Portland, OR 97227
Phone: 503-280-3418    Fax: 503-284-7885
George W Bengtson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4212 Ne Broadway St, Portland, OR 97213
Phone: 503-249-8787    
Dr. Amanda K Blockinger Bailey, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217
Phone: 503-595-9300    

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