Clytie S Rimberg, MD - Medicare Dermatology in Portland, OR

Clytie S Rimberg, MD is a medicare enrolled "Dermatology" physician in Portland, Oregon. Her current practice location is 4212 Ne Broadway St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 249-8787.

Clytie S Rimberg is licensed to practice in Oregon (license number MD 15353) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477620029.

Contact Information

Clytie S Rimberg, MD
4212 Ne Broadway St,
Portland, OR 97213-1460
(503) 249-8787
Not Available



Physician's Profile

Full NameClytie S Rimberg
GenderFemale
SpecialityDermatology
Location4212 Ne Broadway 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: 1477620029
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 10/28/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9739133760
  • Enrollment ID: I20110215000562

Medical Identifiers

Medical identifiers for Clytie S Rimberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477620029NPI-NPPES
04287-4MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD 15353 (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. Clytie S Rimberg allows following entities to bill medicare on her behalf.
Entity NameBroadway Medical Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720082316
PECOS PAC ID: 2466447610
Enrollment ID: O20040416001171

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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. Clytie S Rimberg 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
Clytie S Rimberg, MD
4212 Ne Broadway St,
Portland, OR 97213-1460

Ph: (503) 249-8787
Clytie S Rimberg, MD
4212 Ne Broadway St,
Portland, OR 97213-1460

Ph: (503) 249-8787

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Dermatology Doctors in Portland, OR

Dr. Alison Marie Small, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3303 Sw Bond Ave, Portland, OR 97239
Phone: 503-418-3376    
Milie Fang, DO
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239
Phone: 503-494-1375    
Bert G Tavelli, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210
Phone: 503-223-1933    Fax: 503-223-1947
Natasha Fewkes Carter, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4914 Sw 1st Ave, Portland, OR 97239
Phone: 310-701-8274    
Dr. Samuel Fritz Bremmer, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8211    
Oluwadamilare Olalekan Ajayi, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3303 S Bond Ave, Portland, OR 97239
Phone: 503-418-3376    Fax: 503-494-6968
Diane Romayne Baker, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223
Phone: 503-471-0500    Fax: 503-471-0504

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