Mark Kenneth Wax, MD - Medicare Plastic And Reconstructive Surgery in Portland, OR

Mark Kenneth Wax, MD is a medicare enrolled "Otolaryngology" physician in Portland, Oregon. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Oregon Health And Sciences University/university Medical Group and his current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-5674.

Mark Kenneth Wax is licensed to practice in Oregon (license number MD21318) 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 1912912429.

Contact Information

Mark Kenneth Wax, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-5674
Not Available



Physician's Profile

Full NameMark Kenneth Wax
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience44 Years
Location3181 Sw Sam Jackson Park Rd, 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:
  • Mark Kenneth Wax graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1912912429
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 07/17/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3173421229
  • Enrollment ID: I20080114000105

Medical Identifiers

Medical identifiers for Mark Kenneth Wax such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912912429NPI-NPPES
276773MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MD21318 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohsu Hospital And ClinicsPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oregon Health And Sciences University/university Medical Group48807601071485

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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. Mark Kenneth Wax allows following entities to bill medicare on his 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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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. Mark Kenneth Wax 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
Mark Kenneth Wax, MD
3181 Sw Sam Jackson Park Rd # 01,
Portland, OR 97239-3098

Ph: () -
Mark Kenneth Wax, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-5674

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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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