Miki Watanabe, MD - Medicare Internal Medicine in Portland, OR

Miki Watanabe, MD is a medicare enrolled "Internal Medicine" physician in Portland, Oregon. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice The Regents Of The University Of California-irvine and her current practice location is 10123 Se Market St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 261-6985.

Miki Watanabe is licensed to practice in Oregon (license number MD165733) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366634966.

Contact Information

Miki Watanabe, MD
10123 Se Market St,
Portland, OR 97216-2532
(503) 261-6985
(503) 261-6790



Physician's Profile

Full NameMiki Watanabe
GenderFemale
SpecialityInternal Medicine
Experience25 Years
Location10123 Se Market St, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miki Watanabe graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1366634966
  • Provider Enumeration Date: 08/16/2007
  • Last Update Date: 07/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0042407934
  • Enrollment ID: I20150731016554

Medical Identifiers

Medical identifiers for Miki Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366634966NPI-NPPES
49294OtherCOCO LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 49294 (Colorado)Secondary
207R00000XInternal Medicine 49294 (Colorado)Secondary
207R00000XInternal Medicine MT186972 (Pennsylvania)Secondary
207R00000XInternal Medicine MD165733 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of California Irvine Medical CenterOrange, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Regents Of The University Of California-irvine397160961163

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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. Miki Watanabe allows following entities to bill medicare on her behalf.
Entity NameUc Regents
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760430847
PECOS PAC ID: 7416869516
Enrollment ID: O20031118000906

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Entity NameThe Regents Of The University Of California-irvine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154479723
PECOS PAC ID: 3971609611
Enrollment ID: O20070426000308

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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. Miki Watanabe 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
Miki Watanabe, MD
Po Box 92900,
Portland, OR 97292-0900

Ph: (503) 261-6985
Miki Watanabe, MD
10123 Se Market St,
Portland, OR 97216-2532

Ph: (503) 261-6985

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Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4805 Ne Glisan St, Portland, OR 97213
Phone: 503-215-2392    
Dr. Emmanuel Trungtoan Tavan, MD
Internal 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.
Internal 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
Internal 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.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 503-216-2906    
Richa Uppal, MD
Internal 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
Internal 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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