Dr Kenneth Paul Melvin, MD in Lake Oswego, OR

Dr Kenneth Paul Melvin, MD is a medicare enrolled "Internal Medicine" physician in Lake Oswego, Oregon. His current practice location is 4035 Mercantile Dr, Suite 112, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 203-1177.

Dr Kenneth Paul Melvin is licensed to practice in Oregon (license number MD 24232) 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 1013971837.

Contact Information

	Dr Kenneth Paul Melvin, MD
	4035 Mercantile Dr, Suite 112, Lake Oswego, OR 97035-2546
	(503) 203-1177
	(503) 203-1178

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Paul Melvin
Gender	Male
Speciality	Internal Medicine
Location	4035 Mercantile Dr, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013971837
Provider Enumeration Date: 04/17/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9830273986
Enrollment ID: I20080227000668

Medical Identifiers

Medical identifiers for Dr Kenneth Paul Melvin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013971837	NPI	-	NPPES
269812	Medicaid	OR
MD24232	Other	OR	MEDICAL LICENCE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD 24232 (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 Paul Melvin allows following entities to bill medicare on his behalf.

Entity Name	Eagleton Providers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316249394 PECOS PAC ID: 8527240845 Enrollment ID: O20110308000790

Entity Name	Uptown Providers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346903531 PECOS PAC ID: 4284891243 Enrollment ID: O20120202000068

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 Paul Melvin 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 Kenneth Paul Melvin, MD 6975 Sw Sandburg St, Suite 190, Portland, OR 97223-8073 Ph: (503) 639-0600	Dr Kenneth Paul Melvin, MD 4035 Mercantile Dr, Suite 112, Lake Oswego, OR 97035-2546 Ph: (503) 203-1177

Reviews and Comments

Internal Medicine Doctors in Lake Oswego, OR

Colleen Amanda Finnegan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500
Dr. Paula Diane Kilpatrick, Internal Medicine Medicare: Medicare Enrolled Practice Location: 4035 Sw Mercantile Drive, Suite 101, Lake Oswego, OR 97035 Phone: 503-697-3001 Fax: 503-697-0906
Steven Anthony Hashiguchi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16463 Sw Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-635-6256 Fax: 503-636-9604
Dr. Jeffrey Turner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 A Ave Ste 200, Lake Oswego, OR 97034 Phone: 503-635-2496
Dr. Daryl William Baron, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 16463 Sw Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-635-6256 Fax: 503-636-9604
Stephanie M Barayuga, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500

Dr Kenneth Paul Melvin, MD - Medicare Internal Medicine in Lake Oswego, OR