Dr Katherine Rollins Black, MD - Medicare Gastroenterology in Portland, OR

Dr Katherine Rollins Black, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Portland, Oregon. She went to University Of South Carolina School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Northwest Gastroenterology Clinic Llc and her current practice location is 1130 Nw 22nd Ave Ste 410, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 229-7137.

Dr Katherine Rollins Black is licensed to practice in Oregon (license number MD156824) 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 1801018122.

Contact Information

Dr Katherine Rollins Black, MD
1130 Nw 22nd Ave Ste 410,
Portland, OR 97210-2911
(503) 229-7137
(503) 241-0628



Physician's Profile

Full NameDr Katherine Rollins Black
GenderFemale
SpecialityGastroenterology
Experience12 Years
Location1130 Nw 22nd Ave Ste 410, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Katherine Rollins Black attended and graduated from University Of South Carolina School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1801018122
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 03/21/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6002063211
  • Enrollment ID: I20120823000132

Medical Identifiers

Medical identifiers for Dr Katherine Rollins Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801018122NPI-NPPES
500647193MedicaidOR
MD156824OtherORPROVIDER STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MD156824 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Good Samaritan Medical CenterPortland, ORHospital
Legacy Emanuel Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Gastroenterology Clinic Llc731593589711

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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. Dr Katherine Rollins Black allows following entities to bill medicare on her behalf.
Entity NameNorthwest Gastroenterology Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407933872
PECOS PAC ID: 7315935897
Enrollment ID: O20040504000352

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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. Dr Katherine Rollins Black 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 AddressPractice Location Address
Dr Katherine Rollins Black, MD
1130 Nw 22nd Ave Ste 410,
Portland, OR 97210-2911

Ph: (503) 229-7137
Dr Katherine Rollins Black, MD
1130 Nw 22nd Ave Ste 410,
Portland, OR 97210-2911

Ph: (503) 229-7137

News Archive

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Last-minute, multimillion-dollar deals with wavering Democrats helped secure the support of all 58 Democrats and 2 independents needed to pass the overhaul bill, but they may also set a new bar for future horse trading, Politico reports. Sen. Ben Nelson, D-Neb., "won a provision exempting his state from paying the usual share of costs for new Medicaid patients. The deal critics have dubbed the Cornhusker Kickback is expected to cost the federal government $100 million over 10 years."

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Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4805 Ne Glisan St, Portland, OR 97213
Phone: 503-215-2392    
Dr. Emmanuel Trungtoan Tavan, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227
Phone: 503-413-2901    
Ginevra Lois Liptan, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221
Phone: 503-477-9616    Fax: 503-477-9808
Donald Richard Sullivan, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239
Phone: 503-494-6949    
Dr. Victor Nguyen Pham, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 503-216-2906    
Richa Uppal, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Sw 13th Ave, Portland, OR 97205
Phone: 503-221-0161    Fax: 503-274-1697
Reem Hasan, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239
Phone: 503-494-8562    

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