Dr Katherine Michelle Runyan, MD in Keizer, OR

Dr Katherine Michelle Runyan, MD is a medicare enrolled "Family Medicine" physician in Keizer, Oregon. She went to University Of South Carolina School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Health And Services Oregon, Kaiser Foundation Health Plan Of The Northwest, Kaiser Foundation Health Plan Of The Northwest, Kagman Community Health Center Inc and her current practice location is 5940 Ulali Dr Ne, Keizer, Oregon. You can reach out to her office (for appointments etc.) via phone at (800) 813-2000.

Dr Katherine Michelle Runyan is licensed to practice in Oregon (license number MD190533) 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 1114963717.

Contact Information

	Dr Katherine Michelle Runyan, MD
	5940 Ulali Dr Ne, Keizer, OR 97303-1500
	(800) 813-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Katherine Michelle Runyan
Gender	Female
Speciality	Family Practice
Experience	22 Years
Location	5940 Ulali Dr Ne, Keizer, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Katherine Michelle Runyan attended and graduated from University Of South Carolina School Of Medicine in 2003

NPI Data:

NPI Number: 1114963717
Provider Enumeration Date: 06/21/2006
Last Update Date: 07/28/2025

Medicare PECOS Information:

PECOS PAC ID: 5395747943
Enrollment ID: I20190201001374

Medical Identifiers

Medical identifiers for Dr Katherine Michelle Runyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114963717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD190533 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1338
Kaiser Foundation Health Plan Of The Northwest	5799688230	1498
Kaiser Foundation Health Plan Of The Northwest	5799688230	1498
Kagman Community Health Center Inc	6002171659	13

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. Dr Katherine Michelle Runyan allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Virginia Garcia Memorial Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992

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. Dr Katherine Michelle Runyan 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
Dr Katherine Michelle Runyan, MD 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000	Dr Katherine Michelle Runyan, MD 5940 Ulali Dr Ne, Keizer, OR 97303-1500 Ph: (800) 813-2000

Reviews and Comments

Family Medicine Doctors in Keizer, OR

Mr. Micaiah Matthew Kuzma, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Inland Shores Way, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-589-6240
Quentin Wandyke Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5100 River Rd N, Keizer, OR 97303 Phone: 503-393-2533 Fax: 503-393-5978
Johan Kohler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2470 Fax: 503-375-7429
Dr. Ronald Matthew Palm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Dietz Ave Ne, Keizer, OR 97303 Phone: 503-393-0540
Lesley E Garber, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-375-7429
Anne A Nunes, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-375-7429

Dr Katherine Michelle Runyan, MD - Medicare Family Practice in Keizer, OR