John David Kinzie, MD - Medicare Psychiatry & Neurology in Portland, OR

John David Kinzie, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" 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) 494-8617.

John David Kinzie is licensed to practice in Oregon (license number MD10390) 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 1962417469.

Contact Information

John David Kinzie, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-8617
Not Available

Map and Direction




Physician's Profile

Full NameJohn David Kinzie
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962417469
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 09/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6204990625
  • Enrollment ID: I20090130000136

Medical Identifiers

Medical identifiers for John David Kinzie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962417469NPI-NPPES
246264MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD10390 (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. John David Kinzie allows following entities to bill medicare on his behalf.
Entity NameOregon Health & Science University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609824010
PECOS PAC ID: 4284542945
Enrollment ID: O20040121000929

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. John David Kinzie 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
John David Kinzie, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-6148
John David Kinzie, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-8617

Reviews and Comments


Psychiatry & Neurology Doctors in Portland, OR

Mikel Matto, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2214 Lloyd Ctr, Portland, OR 97232
Phone: 503-494-4222    Fax: 503-494-6143
William James Hoppe, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 13303 Nw Springville Rd, Portland, OR 97229
Phone: 503-910-2664    
Dr. Robert Gene Mealer, M.D., PH.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-6176    Fax: 503-494-6152
Karina Rae Espana, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8311    
Dr. David Morrison Douglas, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239
Phone: 503-721-1440    
Margaret S Cary, MD, MPH
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code Dc7p, Portland, OR 97239
Phone: 503-418-5775    Fax: 503-418-5774
Dr. Melissa Beth Buboltz, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239
Phone: 503-494-8311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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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