Kirstie Lauren Wilson-panum, MD in Portland, OR - Medicare Obstetrics/gynecology

Kirstie Lauren Wilson-panum, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Oregon. She went to Georgetown University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice The Oregon Clinic, Pc and her current practice location is 501 N Graham St Ste 550, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 284-5220.

Kirstie Lauren Wilson-panum is licensed to practice in Oregon (license number MD171212) 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 1386910818.

Contact Information

	Kirstie Lauren Wilson-panum, MD
	501 N Graham St Ste 550, Portland, OR 97227-2010
	(503) 284-5220
	(503) 284-4971

Map and Direction

Physician's Profile

Full Name	Kirstie Lauren Wilson-panum
Gender	Female
Speciality	Obstetrics/gynecology
Experience	16 Years
Location	501 N Graham St Ste 550, 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:

Kirstie Lauren Wilson-panum attended and graduated from Georgetown University School Of Medicine in 2008

NPI Data:

NPI Number: 1386910818
Provider Enumeration Date: 03/29/2012
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 2769630011
Enrollment ID: I20150903002766

Medical Identifiers

Medical identifiers for Kirstie Lauren Wilson-panum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386910818	NPI	-	NPPES
2047045	Medicaid	WA
500690961	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD171212 (Oregon)	Primary
207V00000X	Obstetrics & Gynecology	264220-1 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Oregon Clinic, Pc	2860390408	313

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. Kirstie Lauren Wilson-panum 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: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

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. Kirstie Lauren Wilson-panum 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
Kirstie Lauren Wilson-panum, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Kirstie Lauren Wilson-panum, MD 501 N Graham St Ste 550, Portland, OR 97227-2010 Ph: (503) 284-5220

Reviews and Comments

Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216 Phone: 503-261-4423 Fax: 503-261-4424
John Gilbert Buckmaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4200
Darlene J Dodson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225 Phone: 503-216-3388
Antonio E Frias, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4200 Fax: 503-494-4473
Sig-linda Jacobson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5006 Sw Martha St, Portland, OR 97221 Phone: 503-806-7854
Laila Raad Sillay, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225 Phone: 503-445-0590
Carolyn Marie Withee, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9135 Sw Barnes Rd Ste 761, Portland, OR 97225 Phone: 503-216-2602

Kirstie Lauren Wilson-panum, MD - Medicare Obstetrics/gynecology in Portland, OR