Kim Champion Lu, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Portland, Oregon. He went to Harvard Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Oregon Health And Sciences University/university Medical Group and his current practice location is
3181 Sw Sam Jackson Park Rd, Mailcode L223a, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 494-4373.
Kim Champion Lu is licensed to practice in Oregon (license number MD25911) 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 1871500702.
Physician's Profile
| Full Name | Kim Champion Lu |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 27 Years |
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| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kim Champion Lu attended and graduated from Harvard Medical School in 1997
NPI Data:
- NPI Number: 1871500702
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 09/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123050549
- Enrollment ID: I20050907000475
Medical Identifiers
Medical identifiers for Kim Champion Lu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871500702 | NPI | - | NPPES |
| 213553 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | MD25911 (Oregon) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD25911 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
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. Kim Champion Lu allows following entities to bill medicare on his behalf.
| Entity Name | University Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013 |
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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. Kim Champion Lu 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 |
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Kim Champion Lu, MD
3181 Sw Sam Jackson Park Rd, Mailcode L223a,
Portland, OR 97239-3011
Ph: (503) 494-4373 | Kim Champion Lu, MD
3181 Sw Sam Jackson Park Rd, Mailcode L223a,
Portland, OR 97239-3011
Ph: (503) 494-4373 |
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