Dr Hataya Kristy Poonyagariyagorn, MD - Medicare Pulmonary Disease in Portland, OR

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Dr Hataya Kristy Poonyagariyagorn, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Portland, Oregon. She went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2005 and has 19 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice The Oregon Clinic, Pc and her current practice location is 9427 Sw Barnes Rd Ste 296, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 297-3778.

Dr Hataya Kristy Poonyagariyagorn is licensed to practice in Oregon (license number MD161977) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720264476.

Contact Information

Dr Hataya Kristy Poonyagariyagorn, MD
9427 Sw Barnes Rd Ste 296,
Portland, OR 97225-6667
(503) 297-3778
(503) 297-7853

Map and Direction




Physician's Profile

Full NameDr Hataya Kristy Poonyagariyagorn
GenderFemale
SpecialityPulmonary Disease
Experience19 Years
Location9427 Sw Barnes Rd Ste 296, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hataya Kristy Poonyagariyagorn attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2005
  NPI Data:
  • NPI Number: 1720264476
  • Provider Enumeration Date: 01/11/2008
  • Last Update Date: 12/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294800686
  • Enrollment ID: I20130723000953

Medical Identifiers

Medical identifiers for Dr Hataya Kristy Poonyagariyagorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720264476NPI-NPPES
2029616MedicaidWA
500657789MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MD161977 (Oregon)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD161977 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital
Providence Seaside HospitalSeaside, ORHospital
Providence Newberg Medical CenterNewberg, ORHospital
Adventist Health TillamookTillamook, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Oregon Clinic, Pc2860390408313

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. Dr Hataya Kristy Poonyagariyagorn allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093976243
PECOS PAC ID: 3476450560
Enrollment ID: O20031217000186
Entity NameThe Oregon Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265417174
PECOS PAC ID: 2860390408
Enrollment ID: O20031222000096
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952482275
PECOS PAC ID: 3072415652
Enrollment ID: O20040123000519

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. Dr Hataya Kristy Poonyagariyagorn 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
Dr Hataya Kristy Poonyagariyagorn, MD
541 Ne 20th Ave Ste 225,
Portland, OR 97232-2895

Ph: (503) 963-2801		Dr Hataya Kristy Poonyagariyagorn, MD
9427 Sw Barnes Rd Ste 296,
Portland, OR 97225-6667

Ph: (503) 297-3778

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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