Dr Theresa Marie Koppie, MD - Medicare Urology in Portland, OR

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Dr Theresa Marie Koppie, MD is a medicare enrolled "Urology" physician in Portland, Oregon. She went to University Of Southern California Keck School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Urology. She is a member of the group practice Good Shepherd Health Care System and her current practice location is 3303 Sw Bond Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 346-1500.

Dr Theresa Marie Koppie is licensed to practice in California (license number A068661) 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 1881794352.

Contact Information

Dr Theresa Marie Koppie, MD
3303 Sw Bond Ave,
Portland, OR 97239-4501
(503) 346-1500
(503) 346-1501

Map and Direction




Physician's Profile

Full NameDr Theresa Marie Koppie
GenderFemale
SpecialityUrology
Experience28 Years
Location3303 Sw Bond Ave, Portland, 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 Theresa Marie Koppie attended and graduated from University Of Southern California Keck School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1881794352
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 08/31/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6608878749
  • Enrollment ID: I20110811000742

Medical Identifiers

Medical identifiers for Dr Theresa Marie Koppie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881794352NPI-NPPES
500634566MedicaidOR
1881794352MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology A068661 (California)Primary
208800000XUrology 2289321 (New York)Secondary
208800000XUrology 154558 (Oregon)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Shepherd Medical CenterHermiston, ORHospital
Salem HospitalSalem, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Shepherd Health Care System913303376476

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 Theresa Marie Koppie allows following entities to bill medicare on her behalf.
Entity NameGood Shepherd Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789667
PECOS PAC ID: 9133033764
Enrollment ID: O20031118000046
Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093976243
PECOS PAC ID: 3476450560
Enrollment ID: O20031217000186
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568547503
PECOS PAC ID: 5294623245
Enrollment ID: O20040310000315
Entity NameWillamette Urology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467512996
PECOS PAC ID: 3173519642
Enrollment ID: O20040421000703
Entity NameCentennial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518103274
PECOS PAC ID: 6103982962
Enrollment ID: O20090303000063

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 Theresa Marie Koppie 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 Theresa Marie Koppie, MD
3303 Sw Bond Ave,
Portland, OR 97239-4501

Ph: (503) 346-1500		Dr Theresa Marie Koppie, MD
3303 Sw Bond Ave,
Portland, OR 97239-4501

Ph: (503) 346-1500

Reviews and Comments


Urology Doctors in Portland, OR

Donald Andrew Young Iii, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5050 Ne Hoyt St, Suite 514, Portland, OR 97213
Phone: 503-488-2323    Fax: 503-488-2340
Dr. James Christopher Austin, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Pediatric Urology Cdw-6, Portland, OR 97239
Phone: 503-494-4808    Fax: 503-494-4743
Lauren Lamina,
Urology
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Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8311    
Dr. Jin-hee Kim, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 501 N Graham St Ste 420, Portland, OR 97227
Phone: 503-288-7303    Fax: 503-288-3806
Berhane Mebratu, NP
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 9495 Sw Locust St Ste G, Portland, OR 97223
Phone: 559-321-2800    Fax: 559-321-2780
Michael Joseph Conlin, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 3303 Sw Bond Ave, Ch10u, Portland, OR 97239
Phone: 503-494-4779    Fax: 503-494-8671
Dr. James M Keane, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 9155 Sw Barnes Rd, Ste 422, Portland, OR 97225
Phone: 503-297-1078    Fax: 503-292-2176

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.