Thomas Alexis Molloy, MD - Medicare Thoracic Surgery in Portland, OR

Thomas Alexis Molloy, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Portland, Oregon. He went to Geisel School Of Medicine At Dartmouth and graduated in 1981 and has 43 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Portland Adventist Medical Center, Kalispell Regional Medical Center Inc and his current practice location is 3303 Sw Bond Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (253) 272-7777.

Thomas Alexis Molloy is licensed to practice in Oregon (license number MD16887) 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 1023000395.

Contact Information

Thomas Alexis Molloy, MD
3303 Sw Bond Ave,
Portland, OR 97239-4501
(253) 272-7777
(253) 426-4142



Physician's Profile

Full NameThomas Alexis Molloy
GenderMale
SpecialityThoracic Surgery
Experience43 Years
Location3303 Sw Bond Ave, 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:
  • Thomas Alexis Molloy attended and graduated from Geisel School Of Medicine At Dartmouth in 1981
  NPI Data:
  • NPI Number: 1023000395
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 02/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678471240
  • Enrollment ID: I20051024001176

Medical Identifiers

Medical identifiers for Thomas Alexis Molloy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023000395NPI-NPPES
8155699MedicaidWA
8155694MedicaidWA
014667MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) MD00030543 (Washington)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) MED-PHYS-LIC-58617 (Montana)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) MD16887 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health PortlandPortland, ORHospital
Kalispell Regional Medical CenterKalispell, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Portland Adventist Medical Center3274908819221
Kalispell Regional Medical Center Inc5294644381354

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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. Thomas Alexis Molloy allows following entities to bill medicare on his behalf.
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215910302
PECOS PAC ID: 7012827876
Enrollment ID: O20040226000131

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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 NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750091021
PECOS PAC ID: 3274908819
Enrollment ID: O20230412001327

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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. Thomas Alexis Molloy 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
Thomas Alexis Molloy, MD
2241 Lloyd Ctr,
Portland, OR 97232-1315

Ph: (253) 272-7777
Thomas Alexis Molloy, MD
3303 Sw Bond Ave,
Portland, OR 97239-4501

Ph: (253) 272-7777

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Portland, OR

Howard K. Song, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-7820    
Eric Blaine Kirker, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 9427 Sw Barnes Rd Ste 593, Portland, OR 97225
Phone: 503-216-8670    
Albert Henry Krause, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210
Phone: 503-226-6321    Fax: 503-227-3422
Mithran Suresh Sukumar, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-7820    
Dr. Frederick Anthony Tibayan, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code: L353, Portland, OR 97239
Phone: 503-494-7820    
Dr. Kai Erik Engstad, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210
Phone: 503-226-6321    Fax: 503-227-3422

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