Kelly Dean Pridgen, MD in Pendleton, OR - Medicare Emergency Medicine

Kelly Dean Pridgen, MD is a medicare enrolled "Emergency Medicine" physician in Pendleton, Oregon. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Umatilla River Emergency Physicians Llc and his current practice location is 1601 Se Court Ave, Pendleton, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 276-5121.

Kelly Dean Pridgen is licensed to practice in Oregon (license number MD24109) 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 1013955798.

Contact Information

	Kelly Dean Pridgen, MD
	1601 Se Court Ave, Pendleton, OR 97801-3217
	(541) 276-5121
	(541) 278-3661

Map and Direction

Physician's Profile

Full Name	Kelly Dean Pridgen
Gender	Male
Speciality	Emergency Medicine
Experience	35 Years
Location	1601 Se Court Ave, Pendleton, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Dean Pridgen attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1989

NPI Data:

NPI Number: 1013955798
Provider Enumeration Date: 06/03/2006
Last Update Date: 03/05/2008

Medicare PECOS Information:

PECOS PAC ID: 9931193067
Enrollment ID: I20050510000744

Medical Identifiers

Medical identifiers for Kelly Dean Pridgen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013955798	NPI	-	NPPES
0224305	Other	OR	LIWA
181590	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD24109 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Anthony Hospital	Pendleton, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Umatilla River Emergency Physicians Llc	5991075475	13

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. Kelly Dean Pridgen allows following entities to bill medicare on his behalf.

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079

Entity Name	Umatilla River Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295263523 PECOS PAC ID: 5991075475 Enrollment ID: O20170714002880

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. Kelly Dean Pridgen 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
Kelly Dean Pridgen, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180	Kelly Dean Pridgen, MD 1601 Se Court Ave, Pendleton, OR 97801-3217 Ph: (541) 276-5121

Reviews and Comments

Emergency Medicine Doctors in Pendleton, OR

Brian Letts, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2801 St Anthony Way, Pendleton, OR 97801 Phone: 541-276-5121 Fax: 541-269-2224
Sheldon O Wendler, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Court Ave, Pendleton, OR 97801 Phone: 541-276-5121 Fax: 541-278-3661
Gary Michael Zeigler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1601 Se Court Avenue, Pendleton, OR 97801 Phone: 541-276-5121 Fax: 541-278-3661
Dr. Robert Michael Jepsen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Court Ave, Pendleton, OR 97801 Phone: 541-276-5121
Dr. Mark Steven Clippinger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 46314 Timine Way, Pendleton, OR 97801 Phone: 541-966-9830 Fax: 509-865-6237
Kathleen E Stein, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Se Court Ave, Pendleton, OR 97801 Phone: 541-276-5121 Fax: 541-278-3661

Kelly Dean Pridgen, MD - Medicare Emergency Medicine in Pendleton, OR