Kathleen Balazy Jaffe, MD, MPH - Medicare Radiology in Portland, OR

Kathleen Balazy Jaffe, MD, MPH is a medicare enrolled "Radiology - Radiation Oncology" physician in Portland, Oregon. Her current practice location is Kaiser Permanente Interstate Radiation Oncology, 3620 N Interstate Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 280-2931.

Kathleen Balazy Jaffe is licensed to practice in Oregon (license number 203975) 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 1386031649.

Contact Information

Kathleen Balazy Jaffe, MD, MPH
Kaiser Permanente Interstate Radiation Oncology, 3620 N Interstate Ave,
Portland, OR 97227-9722
(503) 280-2931
Not Available

Map and Direction




Physician's Profile

Full NameKathleen Balazy Jaffe
GenderFemale
SpecialityRadiology - Radiation Oncology
LocationKaiser Permanente Interstate Radiation Oncology, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386031649
  • Provider Enumeration Date: 04/23/2015
  • Last Update Date: 07/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406259803
  • Enrollment ID: I20210722002545

Medical Identifiers

Medical identifiers for Kathleen Balazy Jaffe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386031649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology MD.MD.61148904 (Washington)Secondary
2085R0001XRadiology - Radiation Oncology 203975 (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. Kathleen Balazy Jaffe allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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. Kathleen Balazy Jaffe 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
Kathleen Balazy Jaffe, MD, MPH
3620 N Interstate Ave,
Portland, OR 97227-1106

Ph: (800) 813-2000
Kathleen Balazy Jaffe, MD, MPH
Kaiser Permanente Interstate Radiation Oncology, 3620 N Interstate Ave,
Portland, OR 97227-9722

Ph: (503) 280-2931

Reviews and Comments


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