Samuel R Glickman, MD - Medicare Pulmonary Disease in Gresham, OR

Samuel R Glickman, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Gresham, Oregon. He went to Warren Alpert Medical School Of Brown University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Scripps Health Inpatient Providers Medical Group Inc, La Jolla Pulmonary And Critical Care Inc and his current practice location is 25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-5702.

Samuel R Glickman is licensed to practice in Oregon (license number MD177588) 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 1912149790.

Contact Information

Samuel R Glickman, MD
25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic,
Gresham, OR 97030
(503) 413-5702
(503) 413-6499



Physician's Profile

Full NameSamuel R Glickman
GenderMale
SpecialityPulmonary Disease
Experience15 Years
Location25050 Se Stark Street, Gresham, 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:
  • Samuel R Glickman attended and graduated from Warren Alpert Medical School Of Brown University in 2009
  NPI Data:
  • NPI Number: 1912149790
  • Provider Enumeration Date: 03/25/2009
  • Last Update Date: 08/23/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9638325186
  • Enrollment ID: I20190326000651

Medical Identifiers

Medical identifiers for Samuel R Glickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912149790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease MD177588 (Oregon)Primary
208M00000XHospitalist 265576 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Scripps Memorial Hospital La JollaLa jolla, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scripps Health Inpatient Providers Medical Group Inc9436314762143
La Jolla Pulmonary And Critical Care Inc79119086457

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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. Samuel R Glickman allows following entities to bill medicare on his behalf.
Entity NameScripps Health Inpatient Providers Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699043000
PECOS PAC ID: 9436314762
Enrollment ID: O20120711000317

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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. Samuel R Glickman 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
Samuel R Glickman, MD
25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic,
Gresham, OR 97030

Ph: (503) 413-5702
Samuel R Glickman, MD
25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic,
Gresham, OR 97030

Ph: (503) 413-5702

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Internal Medicine Doctors in Gresham, OR

Kathrin Rose Meyers, D.O.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-413-8407    Fax: 503-413-6951
Dr. Kathryn L Huyssoon, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030
Phone: 503-674-5818    Fax: 503-674-6709
Dr. Brittany Nicole Kishel, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-413-8407    Fax: 503-413-6951
Amy Katherine Chaumeton, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1580    Fax: 503-674-1581
Aura Theresa Bondoc De Olazo, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030
Phone: 503-674-1580    Fax: 503-674-1581
Dr. Brittney B Mensen, DO
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030
Phone: 503-665-8176    Fax: 503-665-8178
Richard Wayne Craft Sr., MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 24900 Se Stark St Ste 202, Gresham, OR 97030
Phone: 503-465-8887    Fax: 503-465-8808

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