Dr Douglas Reed Grossnickle, MD - Medicare Internal Medicine in Portland, OR

Dr Douglas Reed Grossnickle, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Legacy Clinics Llc and his current practice location is 10373 Ne Hancock, Suite 219, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 775-7407.

Dr Douglas Reed Grossnickle is licensed to practice in Oregon (license number MD13084) 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 1669418810.

Contact Information

Dr Douglas Reed Grossnickle, MD
10373 Ne Hancock, Suite 219,
Portland, OR 97220
(503) 775-7407
(503) 775-1547



Physician's Profile

Full NameDr Douglas Reed Grossnickle
GenderMale
SpecialityInternal Medicine
Experience45 Years
Location10373 Ne Hancock, Portland, 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:
  • Dr Douglas Reed Grossnickle attended and graduated from Oregon Health Sciences University School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1669418810
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6002819992
  • Enrollment ID: I20060815000085

Medical Identifiers

Medical identifiers for Dr Douglas Reed Grossnickle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669418810NPI-NPPES
264119MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine MD13084 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Mount Hood Medical CenterGresham, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004603

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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. Dr Douglas Reed Grossnickle allows following entities to bill medicare on his behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089

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Entity NameSilverton Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172

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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. Dr Douglas Reed Grossnickle 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
Dr Douglas Reed Grossnickle, MD
10113 Se Cleone Ct,
Portland, OR 97266

Ph: (503) 775-7407
Dr Douglas Reed Grossnickle, MD
10373 Ne Hancock, Suite 219,
Portland, OR 97220

Ph: (503) 775-7407

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Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4805 Ne Glisan St, Portland, OR 97213
Phone: 503-215-2392    
Dr. Emmanuel Trungtoan Tavan, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227
Phone: 503-413-2901    
Ginevra Lois Liptan, M.D.
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221
Phone: 503-477-9616    Fax: 503-477-9808
Donald Richard Sullivan, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239
Phone: 503-494-6949    
Dr. Victor Nguyen Pham, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 503-216-2906    
Richa Uppal, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Sw 13th Ave, Portland, OR 97205
Phone: 503-221-0161    Fax: 503-274-1697
Reem Hasan, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239
Phone: 503-494-8562    

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