Dr Kenneth Allan Jacobs, MD - Medicare Obstetrics & Gynecology in Portland, OR

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Dr Kenneth Allan Jacobs, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Oregon. His current practice location is 2801 N Gantenbein Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-2200.

Dr Kenneth Allan Jacobs is licensed to practice in Oregon (license number MD22997) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417055518.

Contact Information

Dr Kenneth Allan Jacobs, MD
2801 N Gantenbein Ave,
Portland, OR 97227-1623
(503) 413-2200
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Allan Jacobs
GenderMale
SpecialityObstetrics & Gynecology
Location2801 N Gantenbein Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417055518
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 08/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466406632
  • Enrollment ID: I20050311000366

Medical Identifiers

Medical identifiers for Dr Kenneth Allan Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417055518NPI-NPPES
287590MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD22997 (Oregon)Primary

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 Kenneth Allan Jacobs allows following entities to bill medicare on his behalf.
Entity NameTuality Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275591984
PECOS PAC ID: 3678486107
Enrollment ID: O20040130000359
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238
Entity NameNicholas Mills Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437601234
PECOS PAC ID: 4082997499
Enrollment ID: O20170209001277
Entity NameObhg Oregon Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528585148
PECOS PAC ID: 2365776390
Enrollment ID: O20190626000182

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 Kenneth Allan Jacobs 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
Dr Kenneth Allan Jacobs, MD
2801 N Gantenbein Ave,
Portland, OR 97227-1623

Ph: (503) 413-2200		Dr Kenneth Allan Jacobs, MD
2801 N Gantenbein Ave,
Portland, OR 97227-1623

Ph: (503) 413-2200

Reviews and Comments


Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD
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Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216
Phone: 503-261-4423    Fax: 503-261-4424
John Gilbert Buckmaster, MD
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Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4200    
Darlene J Dodson, M.D.
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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    
Anuradha Devabhaktuni,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 300 N Graham St Ste 100, Portland, OR 97227
Phone: 503-413-1122    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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