Dr Kevin Michael Reavis, MD in Portland, OR

Dr Kevin Michael Reavis, MD is a medicare enrolled "Surgery" physician in Portland, Oregon. He went to Vanderbilt University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Providence Health And Services Oregon, The Oregon Clinic, Pc and his current practice location is 4805 Ne Glisan St, Suite 6n60, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 281-0561.

Dr Kevin Michael Reavis is licensed to practice in Oregon (license number MD24248) 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 1891749149.

Contact Information

	Dr Kevin Michael Reavis, MD
	4805 Ne Glisan St, Suite 6n60, Portland, OR 97213-2933
	(503) 281-0561
	(503) 416-7377

Map and Direction

Physician's Profile

Full Name	Dr Kevin Michael Reavis
Gender	Male
Speciality	General Surgery
Experience	25 Years
Location	4805 Ne Glisan St, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kevin Michael Reavis attended and graduated from Vanderbilt University School Of Medicine in 1999

NPI Data:

NPI Number: 1891749149
Provider Enumeration Date: 05/20/2006
Last Update Date: 11/06/2024

Medicare PECOS Information:

PECOS PAC ID: 2466410048
Enrollment ID: I20041229000459

Medical Identifiers

Medical identifiers for Dr Kevin Michael Reavis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891749149	NPI	-	NPPES
2676297	Medicaid	OH
1891749149	Medicaid	WA
227282	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	35087725 (Ohio)	Secondary
208600000X	Surgery	MD24248 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Portland Medical Center	Portland, OR	Hospital
Legacy Good Samaritan Medical Center	Portland, OR	Hospital
Columbia Memorial Hospital	Astoria, OR	Hospital
Good Samaritan Regional Medical Center	Corvallis, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344
The Oregon Clinic, Pc	2860390408	313

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 Kevin Michael Reavis allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

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. Dr Kevin Michael Reavis 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 Kevin Michael Reavis, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Dr Kevin Michael Reavis, MD 4805 Ne Glisan St, Suite 6n60, Portland, OR 97213-2933 Ph: (503) 281-0561

Reviews and Comments

Surgery Doctors in Portland, OR

Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372

Dr Kevin Michael Reavis, MD - Medicare General Surgery in Portland, OR