Kenneth Alan Ensroth, MD in Oregon City, OR - Medicare Psychiatry & Neurology

Kenneth Alan Ensroth, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Oregon City, Oregon. His current practice location is 1500 Division St, Child Clinic, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 722-3700.

Kenneth Alan Ensroth is licensed to practice in Oregon (license number MD22953) 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 1770599185.

Contact Information

	Kenneth Alan Ensroth, MD
	1500 Division St, Child Clinic, Oregon City, OR 97045-1527
	(503) 722-3700
	(503) 722-3750

Map and Direction

Physician's Profile

Full Name	Kenneth Alan Ensroth
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	1500 Division St, Oregon City, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770599185
Provider Enumeration Date: 07/31/2006
Last Update Date: 03/09/2021

Medicare PECOS Information:

PECOS PAC ID: 8426246778
Enrollment ID: I20101230000604

Medical Identifiers

Medical identifiers for Kenneth Alan Ensroth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770599185	NPI	-	NPPES
287772	Medicaid	OR
500656755	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD22953 (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. Kenneth Alan Ensroth allows following entities to bill medicare on his 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

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. Kenneth Alan Ensroth 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
Kenneth Alan Ensroth, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 722-3700	Kenneth Alan Ensroth, MD 1500 Division St, Child Clinic, Oregon City, OR 97045-1527 Ph: (503) 722-3700

Reviews and Comments

Psychiatry & Neurology Doctors in Oregon City, OR

Kevin J Jamison, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 180, Oregon City, OR 97045 Phone: 503-742-6900
Kim A Wennhold, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 998 Library Ct, Oregon City, OR 97045 Phone: 503-655-8401 Fax: 503-655-8429
Maria V Prokhorova, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 998 Library Ct, Oregon City, OR 97045 Phone: 503-655-8401 Fax: 503-655-8429
Zachary P Muscato, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1511 Division St Ste 101, Oregon City, OR 97045 Phone: 971-345-5060
Jin H Cai, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1511 Division St Ste 101, Oregon City, OR 97045 Phone: 971-345-5060
Dr. Eileen Kerin Kilmartin Mccarty, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1500 Division St, 1st Floor, Oregon City, OR 97045 Phone: 503-722-3705
Donald Dewitt Saint Just, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 998 Library Ct, Oregon City, OR 97045 Phone: 503-655-8401 Fax: 503-655-8429

Kenneth Alan Ensroth, MD - Medicare Psychiatry & Neurology in Oregon City, OR