Kyle Matthew Baltrusch, MD | |
1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 | |
(503) 292-9200 | |
(503) 292-9205 |
Full Name | Kyle Matthew Baltrusch |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 9 Years |
Location | 1200 Nw Naito Pkwy Ste 310, Portland, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952741779 | NPI | - | NPPES |
500688755 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | MD205639 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Portland Plastic Surgery Group, Llc | 3577787514 | 5 |
Entity Name | Portland Plastic Surgery Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437573185 PECOS PAC ID: 3577787514 Enrollment ID: O20140613002111 |
Mailing Address | Practice Location Address |
---|---|
Kyle Matthew Baltrusch, MD 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 Ph: (503) 292-9200 | Kyle Matthew Baltrusch, MD 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 Ph: (503) 292-9200 |
Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829 | |
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 | |
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061 | |
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670 | |
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848 | |
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372 |