Kathryn Victoria Panwala, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Gresham, Oregon. She went to University Of Washington School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Radiation Oncology. She is a member of the group practice Legacy Salmon Creek Hospital, Legacy Clinics Llc and her current practice location is
24950 Se Stark St, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 674-1152.
Kathryn Victoria Panwala is licensed to practice in Oregon (license number MD25025) 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 1972591618.
Physician's Profile
| Full Name | Kathryn Victoria Panwala |
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| Gender | Female |
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| Speciality | Radiation Oncology |
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| Experience | 26 Years |
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| Location | 24950 Se Stark St, Gresham, Oregon |
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| Accepts Medicare Assignments | Yes. She 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:
- Kathryn Victoria Panwala attended and graduated from University Of Washington School Of Medicine in 1998
NPI Data:
- NPI Number: 1972591618
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 12/01/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214927433
- Enrollment ID: I20050908000519
Medical Identifiers
Medical identifiers for Kathryn Victoria Panwala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972591618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | MD25025 (Oregon) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | MD00043380 (Washington) | Secondary |
| 2085R0203X | Radiology - Therapeutic Radiology | MD25025 (Oregon) | Secondary |
| 2085R0203X | Radiology - Therapeutic Radiology | MD00043380 (Washington) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Salmon Creek Hospital | 0446295711 | 223 |
| Legacy Clinics Llc | 0244144004 | 603 |
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. Kathryn Victoria Panwala allows following entities to bill medicare on her behalf.
| Entity Name | Legacy Salmon Creek Hospital |
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| Entity Type | Part B Supplier - Radiation Therapy Center |
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| Entity Identifiers | NPI Number: 1609175660
PECOS PAC ID: 0446295711
Enrollment ID: O20090701000578 |
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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. Kathryn Victoria Panwala 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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Kathryn Victoria Panwala, MD
1400 Nw Irving St, 527,
Portland, OR 97209-2210
Ph: (503) 222-1299 | Kathryn Victoria Panwala, MD
24950 Se Stark St,
Gresham, OR 97030-3379
Ph: (503) 674-1152 |
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