Jonathan Clark Crist, MD - Medicare Sports Medicine in Tigard, OR

Jonathan Clark Crist, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Tigard, Oregon. He went to University Of Nevada School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Portland Clinic and his current practice location is 9250 Sw Hall Blvd, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 293-0161.

Jonathan Clark Crist is licensed to practice in Oregon (license number MD28274) 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 1134252851.

Contact Information

Jonathan Clark Crist, MD
9250 Sw Hall Blvd,
Tigard, OR 97223-6721
(503) 293-0161
(503) 297-9357



Physician's Profile

Full NameJonathan Clark Crist
GenderMale
SpecialitySports Medicine
Experience20 Years
Location9250 Sw Hall Blvd, Tigard, 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:
  • Jonathan Clark Crist attended and graduated from University Of Nevada School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1134252851
  • Provider Enumeration Date: 03/13/2007
  • Last Update Date: 11/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7315016003
  • Enrollment ID: I20080924000723

Medical Identifiers

Medical identifiers for Jonathan Clark Crist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134252851NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 6604923-8905 (Utah)Secondary
207QS0010XFamily Medicine - Sports Medicine MD28274 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Portland Clinic822494286783

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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. Jonathan Clark Crist allows following entities to bill medicare on his behalf.
Entity NamePortland Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558379099
PECOS PAC ID: 8224942867
Enrollment ID: O20031118000101

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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. Jonathan Clark Crist 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
Jonathan Clark Crist, MD
800 Sw 13th Ave,
Portland, OR 97205-1902

Ph: (503) 221-0161
Jonathan Clark Crist, MD
9250 Sw Hall Blvd,
Tigard, OR 97223-6721

Ph: (503) 293-0161

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Family Medicine Doctors in Tigard, OR

Dr. Michael Shihjay Chen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223
Phone: 503-221-0161    Fax: 503-452-3200
Ms. Lisa Diane Watts, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9735 Sw Shady Lane, Suite 100, Tigard, OR 97223
Phone: 503-639-2800    Fax: 503-639-4044
Daniel L Graham, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223
Phone: 503-598-2000    Fax: 503-639-0920
Nathan A Way, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18040 Sw Lower Boones Ferry Rd Ste 100, Tigard, OR 97224
Phone: 503-216-0700    
Michele Nicolette Adamcak, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223
Phone: 503-620-5556    
Anne Michelle Valente, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223
Phone: 503-620-5556    

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