David Alexander Kidd, MD in Portland, OR - Medicare Internal Medicine

David Alexander Kidd, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Portland, Oregon. His current practice location is 9427 Sw Barnes Rd Ste 296, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 297-3778.

David Alexander Kidd is licensed to practice in Oregon (license number MD213894) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053733774.

Contact Information

	David Alexander Kidd, MD
	9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667
	(503) 297-3778
	(503) 297-7853

Map and Direction

Physician's Profile

Full Name	David Alexander Kidd
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	9427 Sw Barnes Rd Ste 296, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053733774
Provider Enumeration Date: 01/15/2014
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9436426087
Enrollment ID: I20230829003288

Medical Identifiers

Medical identifiers for David Alexander Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053733774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	036152339 (Illinois)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	MD213894 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Alexander Kidd allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

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. David Alexander Kidd 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 Address	Practice Location Address
David Alexander Kidd, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	David Alexander Kidd, MD 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 Ph: (503) 297-3778

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Pulmonary Disease 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 Pulmonary Disease 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. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

David Alexander Kidd, MD - Medicare Internal Medicine in Portland, OR