Marissa Luck Bonus, MD - Medicare Obstetrics & Gynecology in Portland, OR

Marissa Luck Bonus, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Oregon. Her current practice location is Oregon Health & Science University, 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (312) 926-2000.

Marissa Luck Bonus is licensed to practice in Oregon (license number MD209009) 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 1215431960.

Contact Information

Marissa Luck Bonus, MD
Oregon Health & Science University, 3181 Sw Sam Jackson Park Rd,
Portland, OR 97239
(312) 926-2000
Not Available



Physician's Profile

Full NameMarissa Luck Bonus
GenderFemale
SpecialityObstetrics & Gynecology
LocationOregon Health & Science University, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215431960
  • Provider Enumeration Date: 03/19/2018
  • Last Update Date: 01/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173867884
  • Enrollment ID: I20220624002504

Medical Identifiers

Medical identifiers for Marissa Luck Bonus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215431960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD209009 (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. Marissa Luck Bonus allows following entities to bill medicare on her behalf.
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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Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

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› Verified 9 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. Marissa Luck Bonus 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
Marissa Luck Bonus, MD
Oregon Health & Science Unversity, 3181 Sw Sam Jackson Park Rd,
Portland, OR 97239

Ph: (503) 418-4500
Marissa Luck Bonus, MD
Oregon Health & Science University, 3181 Sw Sam Jackson Park Rd,
Portland, OR 97239

Ph: (312) 926-2000

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› Verified 9 days ago


Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216
Phone: 503-261-4423    Fax: 503-261-4424
John Gilbert Buckmaster, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4200    
Darlene J Dodson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225
Phone: 503-216-3388    
Antonio E Frias, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-4200    Fax: 503-494-4473
Sig-linda Jacobson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5006 Sw Martha St, Portland, OR 97221
Phone: 503-806-7854    
Laila Raad Sillay, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225
Phone: 503-445-0590    
Edward Paul Kirk, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4500    

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