Tevyn D Kage, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. His current practice location is
9205 Sw Barnes Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 216-2621.
Tevyn D Kage is licensed to practice in Oregon (license number PG215556) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487349171.
Physician's Profile
Full Name | Tevyn D Kage |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 9205 Sw Barnes Rd, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487349171
- Provider Enumeration Date: 04/07/2023
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698135085
- Enrollment ID: I20230717003147
Medical Identifiers
Medical identifiers for Tevyn D Kage such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487349171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | PG215556 (Oregon) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | PG215556 (Oregon) | Primary |
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. Tevyn D Kage 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 |
Tevyn D Kage, MD 500 W Fort St # 111r, Boise, ID 83702-4501 Ph: (208) 422-1000 | Tevyn D Kage, MD 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (503) 216-2621 |
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