Kathy Kiryang Bak, MD in Portland, OR - Medicare Family Practice

Kathy Kiryang Bak, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 12400 Nw Cornell Rd Ste 100, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 291-4000.

Kathy Kiryang Bak is licensed to practice in Oregon (license number MD164294) 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 1861412884.

Contact Information

	Kathy Kiryang Bak, MD
	12400 Nw Cornell Rd Ste 100, Portland, OR 97229-5689
	(503) 291-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kathy Kiryang Bak
Gender	Female
Speciality	Family Practice
Experience	22 Years
Location	12400 Nw Cornell Rd Ste 100, 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:

Kathy Kiryang Bak graduated from medical school in 2002

NPI Data:

NPI Number: 1861412884
Provider Enumeration Date: 07/20/2006
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9335177476
Enrollment ID: I20131114000034

Medical Identifiers

Medical identifiers for Kathy Kiryang Bak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861412884	NPI	-	NPPES
500674133	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A91888 (California)	Secondary
207Q00000X	Family Medicine	MD164294 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. Kathy Kiryang Bak allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Kathy Kiryang Bak 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
Kathy Kiryang Bak, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Kathy Kiryang Bak, MD 12400 Nw Cornell Rd Ste 100, Portland, OR 97229-5689 Ph: (503) 291-4000

Reviews and Comments

Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779

Kathy Kiryang Bak, MD - Medicare Family Practice in Portland, OR