Samantha Banks Kaiser, MD - Medicare Obstetrics/gynecology in Portland, OR

Samantha Banks Kaiser, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Oregon. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Legacy Clinics Llc and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 418-4500.

Samantha Banks Kaiser is licensed to practice in Oregon (license number MD208425) 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 1619468972.

Contact Information

Samantha Banks Kaiser, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 418-4500
(503) 494-1678



Physician's Profile

Full NameSamantha Banks Kaiser
GenderFemale
SpecialityObstetrics/gynecology
Experience6 Years
Location3181 Sw Sam Jackson Park Rd, 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:
  • Samantha Banks Kaiser graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1619468972
  • Provider Enumeration Date: 05/22/2018
  • Last Update Date: 06/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901293893
  • Enrollment ID: I20220422002016

Medical Identifiers

Medical identifiers for Samantha Banks Kaiser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619468972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD208425 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004603

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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. Samantha Banks Kaiser allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089

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Entity NameSilverton Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172

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Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

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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. Samantha Banks Kaiser 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
Samantha Banks Kaiser, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 418-4500
Samantha Banks Kaiser, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 418-4500

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Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216
Phone: 503-261-4423    Fax: 503-261-4424
John Gilbert Buckmaster, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4200    
Darlene J Dodson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225
Phone: 503-216-3388    
Antonio E Frias, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-4200    Fax: 503-494-4473
Sig-linda Jacobson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5006 Sw Martha St, Portland, OR 97221
Phone: 503-806-7854    
Laila Raad Sillay, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225
Phone: 503-445-0590    
Edward Paul Kirk, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4500    

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