Kerry Councilman, MD - Medicare Pathology in Bend, OR

Kerry Councilman, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Bend, Oregon. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Central Oregon Pathology Consultants Pc and her current practice location is 1348 Ne Cushing Dr, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 382-7696.

Kerry Councilman is licensed to practice in Colorado (license number 48166) 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 1497904452.

Contact Information

Kerry Councilman, MD
1348 Ne Cushing Dr,
Bend, OR 97701-3876
(541) 382-7696
Not Available



Physician's Profile

Full NameKerry Councilman
GenderFemale
SpecialityPathology
Experience20 Years
Location1348 Ne Cushing Dr, Bend, 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:
  • Kerry Councilman attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1497904452
  • Provider Enumeration Date: 09/15/2008
  • Last Update Date: 01/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123210937
  • Enrollment ID: I20220420000177

Medical Identifiers

Medical identifiers for Kerry Councilman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497904452NPI-NPPES
20824713MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 48166 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles Medical Center - BendBend, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Oregon Pathology Consultants Pc28604882368

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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. Kerry Councilman allows following entities to bill medicare on her behalf.
Entity NameCentral Oregon Pathology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124140926
PECOS PAC ID: 2860488236
Enrollment ID: O20040421001470

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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. Kerry Councilman 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
Kerry Councilman, MD
1348 Ne Cushing Dr,
Bend, OR 97701-3876

Ph: (541) 382-7696
Kerry Councilman, MD
1348 Ne Cushing Dr,
Bend, OR 97701-3876

Ph: (541) 382-7696

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Pathology Doctors in Bend, OR

Dr. Laurel B. Yocom, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701
Phone: 541-382-7696    
Joseph Alton Hughes, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 1348 Ne Cushing Dr, Bend, OR 97701
Phone: 541-382-7696    
Dr. James Lewis Judd, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1348 Ne Cushing Dr, Bend, OR 97701
Phone: 541-693-2667    
Brian K. Stewart, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701
Phone: 541-382-7696    Fax: 541-389-5724
Dr. Osvaldo A. Schirripa, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 143 Sw Shevlin Hixon Dr, Suite #203, Bend, OR 97702
Phone: 541-633-7172    
Stephen Maurice Russell, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 3391 Nw Panorama Dr, Bend, OR 97701
Phone: 541-693-4376    

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