Mr Kim Gary Gauntt, DPM in Newberg, OR - Medicare Podiatry Provider

Mr Kim Gary Gauntt, DPM is a medicare enrolled "Podiatrist" provider in Newberg, Oregon. He went to California School Of Podiatric Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Podiatry. His current practice location is 410 Villa Road, Newberg, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 538-0466.

Mr Kim Gary Gauntt is licensed to practice in Oregon (license number DP00197) 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 1902908171.

Contact Information

	Mr Kim Gary Gauntt, DPM
	410 Villa Road, Newberg, OR 97132-1904
	(503) 538-0466
	(503) 538-0913

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kim Gary Gauntt
Gender	Male
Speciality	Podiatry
Experience	26 Years
Location	410 Villa Road, Newberg, 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.

Medical Education and Training:

Mr Kim Gary Gauntt attended and graduated from California School Of Podiatric Medicine in 1998

NPI Data:

NPI Number: 1902908171
Provider Enumeration Date: 09/01/2006
Last Update Date: 01/16/2014

Medicare PECOS Information:

PECOS PAC ID: 9335203819
Enrollment ID: I20090128000186

Medical Identifiers

Medical identifiers for Mr Kim Gary Gauntt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902908171	NPI	-	NPPES
001656	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	DP00197 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Newberg Medical Center	Newberg, OR	Hospital

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. Mr Kim Gary Gauntt allows following entities to bill medicare on his behalf.

Provider Name	K G Gauntt Dpm Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275770349 PECOS PAC ID: 2860556347 Enrollment ID: O20090128000198

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. Mr Kim Gary Gauntt 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
Mr Kim Gary Gauntt, DPM 410 Villa Road, Newberg, OR 97132-1904 Ph: (503) 538-0466	Mr Kim Gary Gauntt, DPM 410 Villa Road, Newberg, OR 97132-1904 Ph: (503) 538-0466

Reviews and Comments

Podiatrist in Newberg, OR

Lisa Marie Lipe, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 201 N Washington St, Newberg, OR 97132 Phone: 503-538-0800
K G Gauntt Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 410 Villa Road, Newberg, OR 97132 Phone: 503-538-0466 Fax: 503-538-0913
Chehalem Valley Foot Clinic, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 201 N Washington St, Newberg, OR 97132 Phone: 503-538-0800 Fax: 503-554-8408

Mr Kim Gary Gauntt, DPM - Medicare Podiatrist in Newberg, OR