Bridgeport Family Medicine Llc - Medicare Primary Care in Tigard, OR

Bridgeport Family Medicine Llc is a medicare enrolled primary clinic (Family Medicine) in Tigard, Oregon. The current practice location for Bridgeport Family Medicine Llc is 16083 Sw Upper Boones Ferry Rd, Ste 320, Tigard, Oregon. For appointments, you can reach them via phone at (503) 603-9087. The mailing address for Bridgeport Family Medicine Llc is 16083 Sw Upper Boones Ferry Rd, Ste 320, Tigard, Oregon and phone number is (503) 603-9087.

Bridgeport Family Medicine Llc is licensed to practice in Oregon (license number DO163558). The clinic also participates in the medicare program and its NPI number is 1205236445. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 603-9087.

Contact Information

Bridgeport Family Medicine Llc
16083 Sw Upper Boones Ferry Rd
Ste 320
Tigard
OR 97224-7736
(503) 603-9087
(503) 603-9122

Primary Care Clinic Profile

Full NameBridgeport Family Medicine Llc
SpecialityFamily Medicine
Location16083 Sw Upper Boones Ferry Rd, Tigard, Oregon
Authorized Official Name and PositionStandley Adamek (C0-OWNER)
Authorized Official Contact5036039087
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bridgeport Family Medicine Llc
16083 Sw Upper Boones Ferry Rd
Ste 320
Tigard
OR 97224-7736

Ph: (503) 603-9087
Bridgeport Family Medicine Llc
16083 Sw Upper Boones Ferry Rd
Ste 320
Tigard
OR 97224-7736

Ph: (503) 603-9087

NPI Details:

NPI Number1205236445
Provider Enumeration Date08/25/2014
Last Update Date08/25/2014

Medicare PECOS Information:

Medicare PECOS PAC ID1254671282
Medicare Enrollment IDO20190328002437

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Medical Identifiers

Medical identifiers for Bridgeport Family Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205236445NPI-NPPES
1144515230OtherORNPI
1699060780OtherORNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO163558 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridgeport Family Medicine Llc acts as a billing entity for following providers:
Provider NameLindsay K Kleps
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750471025
PECOS PAC ID: 0941247647
Enrollment ID: I20050414000186

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Provider NameAndrea Tremaine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952735086
PECOS PAC ID: 7416177951
Enrollment ID: I20161116002924

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Provider NameStandley C Adamek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144515230
PECOS PAC ID: 9234432360
Enrollment ID: I20190823002550

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Family Medicine in Tigard, OR

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