Kathleen M Smith, MD - Medicare Pediatrics in Hillsboro, OR

Kathleen M Smith, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Hillsboro, Oregon. Her current practice location is 10690 Ne Cornell Rd Ste 220, Hillsboro, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 848-5861.

Kathleen M Smith is licensed to practice in Oregon (license number MD26976) 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 1699796201.

Contact Information

Kathleen M Smith, MD
10690 Ne Cornell Rd Ste 220,
Hillsboro, OR 97124-9224
(503) 848-5861
Not Available

Map and Direction




Physician's Profile

Full NameKathleen M Smith
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location10690 Ne Cornell Rd Ste 220, Hillsboro, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699796201
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 09/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436041902
  • Enrollment ID: I20040329000704

Medical Identifiers

Medical identifiers for Kathleen M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699796201NPI-NPPES
298528MedicaidOR
8129355MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine G55045 (California)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine MD26976 (Oregon)Primary
208000000XPediatrics MD26976 (Oregon)Secondary

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 M Smith allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20050627000226

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 M Smith 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 M Smith, MD
3020 Childrens Way # Mc5075,
San Diego, CA 92123-4223

Ph: (858) 966-8036
Kathleen M Smith, MD
10690 Ne Cornell Rd Ste 220,
Hillsboro, OR 97124-9224

Ph: (503) 848-5861

Reviews and Comments


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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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