Kenton W Gregory, MD - Medicare Cardiovascular Disease (cardiology) in Portland, OR

Kenton W Gregory, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Portland, Oregon. He went to University Of Southern California Keck School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Fanno Creek Clinic Llc, Providence Health And Services Oregon and his current practice location is 9155 Sw Barnes Rd, #204, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 297-0541.

Kenton W Gregory is licensed to practice in Oregon (license number MD17161) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922080480.

Contact Information

Kenton W Gregory, MD
9155 Sw Barnes Rd, #204,
Portland, OR 97225-6625
(503) 297-0541
(503) 216-4079

Map and Direction




Physician's Profile

Full NameKenton W Gregory
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience44 Years
Location9155 Sw Barnes Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenton W Gregory attended and graduated from University Of Southern California Keck School Of Medicine in 1980
  NPI Data:
  • NPI Number: 1922080480
  • Provider Enumeration Date: 11/18/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032125182
  • Enrollment ID: I20060227000319

Medical Identifiers

Medical identifiers for Kenton W Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922080480NPI-NPPES
029749MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MD17161 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fanno Creek Clinic Llc004210052121
Providence Health And Services Oregon9335057447137

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. Kenton W Gregory allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameFanno Creek Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609876705
PECOS PAC ID: 0042100521
Enrollment ID: O20040318000244
Entity NameNorthwest Heart Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932166337
PECOS PAC ID: 9133192131
Enrollment ID: O20040817001461

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. Kenton W Gregory 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
Kenton W Gregory, MD
Po Box 821350,
Vancouver, WA 98682-0030

Ph: (503) 283-5220
Kenton W Gregory, MD
9155 Sw Barnes Rd, #204,
Portland, OR 97225-6625

Ph: (503) 297-0541

Reviews and Comments


Internal Medicine Doctors in Portland, OR

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Dr. Victor Nguyen Pham, M.D.
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Phone: 503-221-0161    Fax: 503-274-1697
Reem Hasan, MD
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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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