Mrs Kelly Marie King, PA - Medicare Physician Assistant in Tigard, OR

Mrs Kelly Marie King, PA is a medicare enrolled "Physician Assistant - Medical" in Tigard, Oregon. Her current practice location is 13013 Sw Caddy Pl, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 766-3263.

Mrs Kelly Marie King is licensed to practice in Oregon (license number LL17410) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235327883.

Contact Information

Mrs Kelly Marie King, PA
13013 Sw Caddy Pl,
Tigard, OR 97223-2892
(503) 766-3263
Not Available



Provider's Profile

Full NameMrs Kelly Marie King
GenderFemale
SpecialityPhysician Assistant - Medical
Location13013 Sw Caddy Pl, Tigard, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235327883
  • Provider Enumeration Date: 10/09/2007
  • Last Update Date: 10/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416045869
  • Enrollment ID: I20071119000142

Medical Identifiers

Medical identifiers for Mrs Kelly Marie King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235327883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical LL17410 (Oregon)Primary

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. Mrs Kelly Marie King 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
Mrs Kelly Marie King, PA
13013 Sw Caddy Pl,
Tigard, OR 97223-2892

Ph: (503) 766-3263
Mrs Kelly Marie King, PA
13013 Sw Caddy Pl,
Tigard, OR 97223-2892

Ph: (503) 766-3263

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› Verified 8 days ago


Physician Assistant Nurses in Tigard, OR

Rayna Donnelly, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9735 Sw Shady Ln Ste 102, Tigard, OR 97223
Phone: 503-620-5614    
Madeline Kauffman, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223
Phone: 503-620-5556    
Mrs. Dyea L Summers, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224
Phone: 503-914-8162    
Mrs. Hanna Lou Allwein, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11958 Sw Garden Place, Tigard, OR 97223
Phone: 503-684-8252    Fax: 866-859-8195
Andrew David Bodmer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224
Phone: 503-216-0700    
Geneva Ann Green, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 16083 Sw Upper Boones Ferry Rd Ste 130, Tigard, OR 97224
Phone: 503-603-9087    
Kenric Brion Craver, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224
Phone: 503-216-0700    

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