Travis James Widman, MD - Medicare Dermatology in Clackamas, OR

Travis James Widman, MD is a medicare enrolled "Dermatology" physician in Clackamas, Oregon. He went to University Of Washington School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 9900 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 571-3332.

Travis James Widman is licensed to practice in Oregon (license number LL16231) 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 1700928397.

Contact Information

Travis James Widman, MD
9900 Se Sunnyside Rd,
Clackamas, OR 97015-9777
(503) 571-3332
Not Available



Physician's Profile

Full NameTravis James Widman
GenderMale
SpecialityDermatology
Experience21 Years
Location9900 Se Sunnyside Rd, Clackamas, 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:
  • Travis James Widman attended and graduated from University Of Washington School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1700928397
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 12/23/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4183707755
  • Enrollment ID: I20080206000332

Medical Identifiers

Medical identifiers for Travis James Widman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700928397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology LL16231 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301482

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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. Travis James Widman allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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. Travis James Widman 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
Travis James Widman, MD
9900 Se Sunnyside Rd,
Clackamas, OR 97015-9777

Ph: (503) 571-3332
Travis James Widman, MD
9900 Se Sunnyside Rd,
Clackamas, OR 97015-9777

Ph: (503) 571-3332

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Dermatology Doctors in Clackamas, OR

Jo M Martin, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 9900 Se Sunnyside Rd, Nw Permanente Pc, Physicians And Surgeons, Clackamas, OR 97015
Phone: 503-571-3332    
Peter E Goodkin, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 9775 Se Sunnyside Road, Suite 500, Clackamas, OR 97015
Phone: 503-654-7546    Fax: 503-786-3542
Matthew G Basco, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015
Phone: 503-571-8490    
Dr. Zachary G Pena, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015
Phone: 503-962-1840    
Mary Clare Bohnett, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015
Phone: 503-962-1840    
Kenneth Myungdei Kang, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-0000    

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