Daniel Alexander Ananyev, DO - Medicare Family Practice in Lake Oswego, OR

Daniel Alexander Ananyev, DO is a medicare enrolled "Family Medicine" physician in Lake Oswego, Oregon. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 16463 Boones Ferry Rd Ste 300, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 658-9351.

Daniel Alexander Ananyev is licensed to practice in Oregon (license number DO166843) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255678439.

Contact Information

Daniel Alexander Ananyev, DO
16463 Boones Ferry Rd Ste 300,
Lake Oswego, OR 97035-4376
(503) 658-9351
(541) 708-5934



Physician's Profile

Full NameDaniel Alexander Ananyev
GenderMale
SpecialityFamily Practice
Experience13 Years
Location16463 Boones Ferry Rd Ste 300, Lake Oswego, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daniel Alexander Ananyev attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 2011
  NPI Data:
  • NPI Number: 1255678439
  • Provider Enumeration Date: 01/09/2013
  • Last Update Date: 12/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052537255
  • Enrollment ID: I20140724000913

Medical Identifiers

Medical identifiers for Daniel Alexander Ananyev such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255678439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO166843 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Milwaukie HospitalMilwaukie, ORHospital
Providence Portland Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081328

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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. Daniel Alexander Ananyev 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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Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912282369
PECOS PAC ID: 5294901922
Enrollment ID: O20120319000430

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Entity NameNisha Jackson Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124499124
PECOS PAC ID: 6305147745
Enrollment ID: O20151209000878

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Entity NameOnepeak Southern Oregon Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740917558
PECOS PAC ID: 5395129670
Enrollment ID: O20220906001662

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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. Daniel Alexander Ananyev 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
Daniel Alexander Ananyev, DO
16463 Boones Ferry Rd Ste 300,
Lake Oswego, OR 97035-4376

Ph: (503) 658-9351
Daniel Alexander Ananyev, DO
16463 Boones Ferry Rd Ste 300,
Lake Oswego, OR 97035-4376

Ph: (503) 658-9351

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Family Medicine Doctors in Lake Oswego, OR

Laura Lei Zhong Gaff, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035
Phone: 503-216-1500    
James Clive Chesnutt, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035
Phone: 360-254-6161    Fax: 360-449-1146
Dr. Walter Ray Hardin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6 Centerpointe Dr Ste 200, Lake Oswego, OR 97035
Phone: 503-797-2268    
Dr. David W Selby, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16463 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035
Phone: 503-635-1350    Fax: 503-635-8470
Dr. Josh Gepner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 412 A Ave Ste 200, Lake Oswego, OR 97034
Phone: 503-635-2496    Fax: 503-635-2497
Michael Zimmerman, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6 Centerpointe Dr Ste 200, Lake Oswego, OR 97035
Phone: 503-797-2273    Fax: 503-234-8155
Herbert H Lim, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4015 Mercantile Dr Ste 200, Lake Oswego, OR 97035
Phone: 503-216-1500    

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