Kelly William Rydlund, MD is a medicare enrolled "Otolaryngology" physician in Oregon City, Oregon. He went to University Of Nebraska College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Oregon Clinic Pc and his current practice location is
1508 Division St, Suite 115, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 656-0601.
Kelly William Rydlund is licensed to practice in Oregon (license number MD25603) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306802269.
Physician's Profile
| Full Name | Kelly William Rydlund |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 30 Years |
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| Location | 1508 Division St, Oregon City, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly William Rydlund attended and graduated from University Of Nebraska College Of Medicine in 1994
NPI Data:
- NPI Number: 1306802269
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688616188
- Enrollment ID: I20050525000428
Medical Identifiers
Medical identifiers for Kelly William Rydlund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306802269 | NPI | - | NPPES |
| 2038805 | Medicaid | WA | |
| 023154 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | MD25603 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oregon Clinic Pc | 2860390408 | 319 |
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. Kelly William Rydlund allows following entities to bill medicare on his behalf.
| Entity Name | Oregon Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265417174
PECOS PAC ID: 2860390408
Enrollment ID: O20031222000096 |
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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. Kelly William Rydlund 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 Address | Practice Location Address |
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Kelly William Rydlund, MD
541 Ne 20th Ave Ste 225,
Portland, OR 97232-2895
Ph: (503) 963-2801 | Kelly William Rydlund, MD
1508 Division St, Suite 115,
Oregon City, OR 97045-1582
Ph: (503) 656-0601 |
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