Dr Kitima Boonvisudhi, - Medicare General Surgery in Albany, OR

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Dr Kitima Boonvisudhi, is a medicare enrolled "Surgery" physician in Albany, Oregon. She went to University Of Pittsburgh School Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Albany General Hospital and her current practice location is 400 Hickory St Nw Ste 101, Albany, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 812-3360.

Dr Kitima Boonvisudhi is licensed to practice in Oregon (license number MD167013) 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 1134198005.

Contact Information

Dr Kitima Boonvisudhi,
400 Hickory St Nw Ste 101,
Albany, OR 97321-1700
(541) 812-3360
Not Available

Map and Direction




Physician's Profile

Full NameDr Kitima Boonvisudhi
GenderFemale
SpecialityGeneral Surgery
Experience31 Years
Location400 Hickory St Nw Ste 101, Albany, Oregon
Accepts Medicare AssignmentsYes. 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 Kitima Boonvisudhi attended and graduated from University Of Pittsburgh School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1134198005
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 01/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1456434091
  • Enrollment ID: I20140807000488

Medical Identifiers

Medical identifiers for Dr Kitima Boonvisudhi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134198005NPI-NPPES
02440095MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 204411 (New York)Secondary
208600000XSurgery 59966 (Wisconsin)Secondary
208600000XSurgery MD167013 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan Albany General HospitalAlbany, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Albany General Hospital9931097987173

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 Kitima Boonvisudhi allows following entities to bill medicare on her behalf.
Entity NameMid-valley Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20031111000297
Entity NameAlbany General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154372340
PECOS PAC ID: 9931097987
Enrollment ID: O20040310000310
Entity NameMid-valley Healthcare Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20061104000140
Entity NameHealogics Specialty Physicians Of Oregon Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841664752
PECOS PAC ID: 1254637846
Enrollment ID: O20160308001352

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 Kitima Boonvisudhi 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 Kitima Boonvisudhi,
Po Box 1189,
Corvallis, OR 97339-1189

Ph: () -		Dr Kitima Boonvisudhi,
400 Hickory St Nw Ste 101,
Albany, OR 97321-1700

Ph: (541) 812-3360

Reviews and Comments


Surgery Doctors in Albany, OR

Carolyn Denise Smith,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1046 6th Ave Sw, Albany, OR 97321
Phone: 910-520-3869    
Dr. Mary K. Harada, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 631 Elm St Sw Ste 202, Albany, OR 97321
Phone: 541-812-5834    Fax: 541-812-5650
Dr. Satyajeet Y Gaekwad, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 705 Elm St Sw, Suite 300, Albany, OR 97321
Phone: 541-812-4580    Fax: 541-928-3169
Alisha Marie Cluff Kingsford, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 705 Elm St Sw Ste 300, Albany, OR 97321
Phone: 541-812-4580    
Dr. Gregg M. Miller, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 705 Elm St Sw, Suite 300, Albany, OR 97321
Phone: 541-812-4850    Fax: 541-928-3169
Dr. April Jensen, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 705 Elm St Sw Ste 300, Albany, OR 97321
Phone: 541-812-4580    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.