Dr Theresa Marie Koppie, MD in Portland, OR

Dr Theresa Marie Koppie, MD is a medicare enrolled "Urology" physician in Portland, Oregon. She went to University Of Southern California Keck School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Urology. She is a member of the group practice Willamette Urology, Pc and her current practice location is 3303 Sw Bond Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 346-1500.

Dr Theresa Marie Koppie is licensed to practice in California (license number A068661) 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 1881794352.

Contact Information

	Dr Theresa Marie Koppie, MD
	3303 Sw Bond Ave, Portland, OR 97239-4501
	(503) 346-1500
	(503) 346-1501

Map and Direction

Physician's Profile

Full Name	Dr Theresa Marie Koppie
Gender	Female
Speciality	Urology
Experience	27 Years
Location	3303 Sw Bond Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. 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 Theresa Marie Koppie attended and graduated from University Of Southern California Keck School Of Medicine in 1997

NPI Data:

NPI Number: 1881794352
Provider Enumeration Date: 09/25/2006
Last Update Date: 08/31/2011

Medicare PECOS Information:

PECOS PAC ID: 6608878749
Enrollment ID: I20110811000742

Medical Identifiers

Medical identifiers for Dr Theresa Marie Koppie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881794352	NPI	-	NPPES
500634566	Medicaid	OR
1881794352	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	A068661 (California)	Primary
208800000X	Urology	2289321 (New York)	Secondary
208800000X	Urology	154558 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Salem Hospital	Salem, OR	Hospital
Good Shepherd Medical Center	Hermiston, OR	Hospital
West Valley Hospital	Dallas, OR	Hospital
Santiam Hospital	Stayton, OR	Hospital
Samaritan North Lincoln Hospital	Lincoln city, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Willamette Urology, Pc	3173519642	9

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 Theresa Marie Koppie allows following entities to bill medicare on her behalf.

Entity Name	Good Shepherd Health Care System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046

Entity Name	Willamette Urology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467512996 PECOS PAC ID: 3173519642 Enrollment ID: O20040421000703

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 Theresa Marie Koppie 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 Theresa Marie Koppie, MD 3303 Sw Bond Ave, Portland, OR 97239-4501 Ph: (503) 346-1500	Dr Theresa Marie Koppie, MD 3303 Sw Bond Ave, Portland, OR 97239-4501 Ph: (503) 346-1500

Reviews and Comments

Urology Doctors in Portland, OR

Donald Andrew Young Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Suite 514, Portland, OR 97213 Phone: 503-488-2323 Fax: 503-488-2340
Dr. James Christopher Austin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Pediatric Urology Cdw-6, Portland, OR 97239 Phone: 503-494-4808 Fax: 503-494-4743
Lauren Lamina, Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Dr. Jin-hee Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Ste 342, Portland, OR 97216 Phone: 503-255-5244 Fax: 503-255-5120
Berhane Mebratu, NP Urology Medicare: Medicare Enrolled Practice Location: 9495 Sw Locust St Ste G, Portland, OR 97223 Phone: 559-321-2800 Fax: 559-321-2780
Michael Joseph Conlin, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3303 Sw Bond Ave, Ch10u, Portland, OR 97239 Phone: 503-494-4779 Fax: 503-494-8671
Dr. James M Keane, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, Ste 422, Portland, OR 97225 Phone: 503-297-1078 Fax: 503-292-2176

Dr Theresa Marie Koppie, MD - Medicare Urology in Portland, OR