Lourdes Quintanilla-dieck, MD - Medicare Otolaryngology in Portland, OR

Lourdes Quintanilla-dieck, MD is a medicare enrolled "Otolaryngology" physician in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-5674.

Lourdes Quintanilla-dieck is licensed to practice in Oregon (license number MD173369) 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 1528293545.

Contact Information

Lourdes Quintanilla-dieck, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-5674
(503) 494-4631



Physician's Profile

Full NameLourdes Quintanilla-dieck
GenderFemale
SpecialityOtolaryngology
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: 1528293545
  • Provider Enumeration Date: 05/19/2009
  • Last Update Date: 05/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870748429
  • Enrollment ID: I20150828001460

Medical Identifiers

Medical identifiers for Lourdes Quintanilla-dieck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528293545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YP0228XOtolaryngology - Pediatric Otolaryngology MD173369 (Oregon)Secondary
207Y00000XOtolaryngology MD173369 (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. Lourdes Quintanilla-dieck allows following entities to bill medicare on her behalf.
Entity NameLegacy Emanuel Hospital & Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831112358
PECOS PAC ID: 4587573639
Enrollment ID: O20040127001204

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› Verified 8 days ago

Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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› Verified 8 days ago

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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› Verified 8 days ago

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. Lourdes Quintanilla-dieck 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
Lourdes Quintanilla-dieck, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-5674
Lourdes Quintanilla-dieck, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-5674

News Archive

Researchers to design, test sensors to protect firefighters from respiratory damage and illnesses

During the next three years, researchers at Case Western Reserve University will team with NASA Glenn Research Center and firefighters nationally, from Cleveland to Oregon, to design and test sensors aimed at protecting firefighters from respiratory damage and illnesses.

News outlets report on food price concerns as special FAO meeting begins

Ahead of the U.N. Food and Agricultural Organization's (FAO) special meeting on global food prices Friday, U.N. officials said they expect Russian grain company executives to attend, the Associated Press/Bloomberg Businessweek reports.

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Read more News

› Verified 8 days ago


Otolaryngology Doctors in Portland, OR

David Wei Kuo Lin, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 3600 N Interstate Ave, Interstate Medical Office Central, Portland, OR 97227
Phone: 503-331-6085    
Mr. Michael Lee Mcdonald, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 10101 Se Main St, # 2004, Portland, OR 97216
Phone: 503-257-3204    Fax: 503-255-7208
Dr. Duane Allen Lundeberg, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 2222 Nw Lovejoy St, Suite #622, Portland, OR 97210
Phone: 503-229-8455    Fax: 503-229-7028
Brian Jacob Stater, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225
Phone: 503-935-8100    Fax: 503-935-8110
Dr. Edsel Uisuk Kim, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225
Phone: 503-935-8100    Fax: 503-935-8110
James Isaac Cohen, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Pv-01, Portland, OR 97239
Phone: 503-494-5355    Fax: 503-494-4631
Dr. Larry Richard Thomas, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 2222 Nw Lovejoy St, Suite #622, Portland, OR 97210
Phone: 503-229-8455    Fax: 503-229-7028

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