Kathryn Wagner, MD - Medicare Neurosurgery in Portland, OR

Kathryn Wagner, MD is a medicare enrolled "Neurological Surgery" physician in Portland, Oregon. She went to Oregon Health Sciences University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Neurosurgery. She is a member of the group practice Southern Oregon Neurosurgical And Spine Associates, Pc and her current practice location is 3101 Sw 13th Ave Apt 19, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 550-2870.

Kathryn Wagner is licensed to practice in Texas (license number 582526) 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 1366860009.

Contact Information

Kathryn Wagner, MD
3101 Sw 13th Ave Apt 19,
Portland, OR 97239-3071
(503) 550-2870
Not Available



Physician's Profile

Full NameKathryn Wagner
GenderFemale
SpecialityNeurosurgery
Experience18 Years
Location3101 Sw 13th Ave Apt 19, 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:
  • Kathryn Wagner attended and graduated from Oregon Health Sciences University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1366860009
  • Provider Enumeration Date: 03/31/2014
  • Last Update Date: 12/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688076037
  • Enrollment ID: I20210708001058

Medical Identifiers

Medical identifiers for Kathryn Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366860009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 582526 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Asante Rogue Regional Medical CenterMedford, ORHospital
Asante Three Rivers Medical CenterGrants pass, ORHospital
Providence Medford Medical CenterMedford, ORHospital
Asante Ashland Community HospitalAshland, ORHospital
Sky Lakes Medical CenterKlamath falls, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Oregon Neurosurgical And Spine Associates, Pc802227568411

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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. Kathryn Wagner allows following entities to bill medicare on her behalf.
Entity NameSouthern Oregon Neurosurgical & Spine Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912288671
PECOS PAC ID: 8022275684
Enrollment ID: O20120209000137

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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. Kathryn Wagner 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
Kathryn Wagner, MD
2900 State St,
Medford, OR 97504-8458

Ph: (541) 779-1672
Kathryn Wagner, MD
3101 Sw 13th Ave Apt 19,
Portland, OR 97239-3071

Ph: (503) 550-2870

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Neurological Surgery Doctors in Portland, OR

Dibyendu K Ray, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3303 Sw Bond Avenue, Ohsu Ch8n, Portland, OR 97239
Phone: 503-494-4178    
Won Hyung Ryu, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3303 S Bond Ave, Portland, OR 97239
Phone: 503-494-4314    
Feridun Acar, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4314    
Dr. Jos'lyn Iman Woodard, M.D.
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-6207    
Oisin Ruadri O'neill, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 9155 Sw Barnes Rd, Ste 440, Portland, OR 97225
Phone: 503-297-3766    Fax: 503-297-8148
Dr. Thomas Jay Rosenbaum, MD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 2222 Nw Lovejoy, Ste 516, Portland, OR 97210
Phone: 503-229-8470    Fax: 503-274-4849
Dr. Martin Athelstan Baggenstos, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9155 Sw Barnes Rd Ste 440, Portland, OR 97225
Phone: 503-935-8500    Fax: 503-935-8505

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