Dr Kimberly Susan Stump, MD in Salem, OR - Medicare Family Medicine

Dr Kimberly Susan Stump, MD is a medicare enrolled "Family Medicine" physician in Salem, Oregon. Her current practice location is 900 State St, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 370-6062.

Dr Kimberly Susan Stump is licensed to practice in Oregon (license number MD194544) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063619518.

Contact Information

	Dr Kimberly Susan Stump, MD
	900 State St, Salem, OR 97301-3922
	(503) 370-6062
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Susan Stump
Gender	Female
Speciality	Family Medicine
Location	900 State St, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063619518
Provider Enumeration Date: 06/28/2007
Last Update Date: 09/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3971766312
Enrollment ID: I20120522000773

Medical Identifiers

Medical identifiers for Dr Kimberly Susan Stump such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063619518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	P1496 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	RT1676 (New Hampshire)	Secondary
207Q00000X	Family Medicine	MD194544 (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. Dr Kimberly Susan Stump allows following entities to bill medicare on her behalf.

Entity Name	Health And Human Services Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058

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 Kimberly Susan Stump 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 Kimberly Susan Stump, MD 5536 Salal St Se, Salem, OR 97306-2184 Ph: (214) 418-3699	Dr Kimberly Susan Stump, MD 900 State St, Salem, OR 97301-3922 Ph: (503) 370-6062

Reviews and Comments

Family Medicine Doctors in Salem, OR

Dr. Volodymyr Y. Dovhyy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1165 Union St Ne, Salem, OR 97301 Phone: 503-399-2424
Dr. Bethany Wohletz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1160 Wallace Rd Nw, Salem, OR 97304 Phone: 503-304-5716 Fax: 503-304-5719
Samantha Easterly, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2020 Capitol St Ne, Salem, OR 97301 Phone: 503-399-2424 Fax: 503-375-7451
Rosamund M Irwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800
Jack Buchanan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem Hospital Urgent Care Center, Salem, OR 97301 Phone: 503-561-5554
Dr. Quincy Enyioma John, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-1879
Shwetha R Gurram, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 966 12th St Se Ste 130, Salem, OR 97302 Phone: 503-814-4400

Dr Kimberly Susan Stump, MD - Medicare Family Medicine in Salem, OR