Dr Keith Phillip Cross, MD in Portland, OR - Medicare Emergency Medicine

Dr Keith Phillip Cross, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-7551.

Dr Keith Phillip Cross is licensed to practice in Oregon (license number MD214291) 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 1528105194.

Contact Information

	Dr Keith Phillip Cross, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-7551
	(503) 494-4997

Map and Direction

Physician's Profile

Full Name	Dr Keith Phillip Cross
Gender	Male
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	3181 Sw Sam Jackson Park Rd, 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: 1528105194
Provider Enumeration Date: 01/31/2007
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3375632409
Enrollment ID: I20071127000739

Medical Identifiers

Medical identifiers for Dr Keith Phillip Cross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528105194	NPI	-	NPPES
200882960	Medicaid	IN
7100025500	Medicaid	KY
03822786	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	294757-1 (New York)	Secondary
208000000X	Pediatrics	MD214291 (Oregon)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	40990 (Kentucky)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	294757-1 (New York)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	MD214291 (Oregon)	Primary
207R00000X	Internal Medicine	MD214291 (Oregon)	Secondary
208000000X	Pediatrics	40990 (Kentucky)	Secondary
207R00000X	Internal Medicine	40990 (Kentucky)	Secondary
207R00000X	Internal Medicine	294757-1 (New York)	Secondary

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 Keith Phillip Cross allows following entities to bill medicare on his behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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 Keith Phillip Cross 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
Dr Keith Phillip Cross, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7551	Dr Keith Phillip Cross, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7551

Reviews and Comments

Emergency Medicine Doctors in Portland, OR

Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997
Robert Barriatua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270

Dr Keith Phillip Cross, MD - Medicare Emergency Medicine in Portland, OR