Peggy E Kelley, MD in Portland, OR - Medicare Otolaryngology

Peggy E Kelley, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Portland, Oregon. Her current practice location is 9427 Sw Barnes Rd Ste 395, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-6050.

Peggy E Kelley is licensed to practice in Oregon (license number MD196930) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689777476.

Contact Information

	Peggy E Kelley, MD
	9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652
	(503) 216-6050
	Not Available

Map and Direction

Physician's Profile

Full Name	Peggy E Kelley
Gender	Female
Speciality	Otolaryngology - Pediatric Otolaryngology
Location	9427 Sw Barnes Rd Ste 395, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689777476
Provider Enumeration Date: 09/07/2006
Last Update Date: 03/18/2021

Medicare PECOS Information:

PECOS PAC ID: 9335130905
Enrollment ID: I20200324002329

Medical Identifiers

Medical identifiers for Peggy E Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689777476	NPI	-	NPPES
01373687	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YP0228X	Otolaryngology - Pediatric Otolaryngology	37368 (Colorado)	Secondary
207YP0228X	Otolaryngology - Pediatric Otolaryngology	MD196930 (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. Peggy E Kelley 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: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

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. Peggy E Kelley 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
Peggy E Kelley, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Peggy E Kelley, MD 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 Ph: (503) 216-6050

Reviews and Comments

Otolaryngology Doctors in Portland, OR

David Wei Kuo Lin, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3600 N Interstate Ave, Interstate Medical Office Central, Portland, OR 97227 Phone: 503-331-6085
Zipei Feng, MD, PHD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
Mr. Michael Lee Mcdonald, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10101 Se Main St, # 2004, Portland, OR 97216 Phone: 503-257-3204 Fax: 503-255-7208
Dr. Duane Allen Lundeberg, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2222 Nw Lovejoy St, Suite #622, Portland, OR 97210 Phone: 503-229-8455 Fax: 503-229-7028
Brian Jacob Stater, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
Dr. Edsel Uisuk Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
James Isaac Cohen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Pv-01, Portland, OR 97239 Phone: 503-494-5355 Fax: 503-494-4631

Peggy E Kelley, MD - Medicare Otolaryngology in Portland, OR