Dr Khayree Butler, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Portland, Oregon. He went to University Of Maryland School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Legacy Clinics Llc, Legacy Salmon Creek Hospital and his current practice location is
2222 Nw Lovejoy St Ste 601, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 413-5514.
Dr Khayree Butler is licensed to practice in Oregon (license number MD178228) 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 1649430430.
Physician's Profile
| Full Name | Dr Khayree Butler |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 16 Years |
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| Location | 2222 Nw Lovejoy St Ste 601, Portland, 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:
- Dr Khayree Butler attended and graduated from University Of Maryland School Of Medicine in 2008
NPI Data:
- NPI Number: 1649430430
- Provider Enumeration Date: 06/15/2008
- Last Update Date: 12/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 4385887124
- Enrollment ID: I20160913002264
Medical Identifiers
Medical identifiers for Dr Khayree Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649430430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | TRN12927 (Florida) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD178228 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Clinics Llc | 0244144004 | 603 |
| Legacy Salmon Creek Hospital | 0446295711 | 223 |
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 Khayree Butler allows following entities to bill medicare on his behalf.
| Entity Name | Legacy Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089 |
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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. Dr Khayree Butler 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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Dr Khayree Butler, MD
Po Box 3777,
Portland, OR 97208-3777
Ph: (503) 413-3900 | Dr Khayree Butler, MD
2222 Nw Lovejoy St Ste 601,
Portland, OR 97210-5104
Ph: (503) 413-5514 |
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