Kerry Anne Scully Proctor, MD - Medicare Pathology in The Dalles, OR

Kerry Anne Scully Proctor, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in The Dalles, Oregon. She went to University Of Vermont College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Mid-columbia Medical Center and her current practice location is 1700 E 19th St, The Dalles, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 296-1111.

Kerry Anne Scully Proctor is licensed to practice in Oregon (license number MD27633) 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 1235353863.

Contact Information

Kerry Anne Scully Proctor, MD
1700 E 19th St,
The Dalles, OR 97058-3317
(541) 296-1111
Not Available

Map and Direction




Physician's Profile

Full NameKerry Anne Scully Proctor
GenderFemale
SpecialityPathology
Experience23 Years
Location1700 E 19th St, The Dalles, 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:
  • Kerry Anne Scully Proctor attended and graduated from University Of Vermont College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1235353863
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 12/14/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2769570704
  • Enrollment ID: I20071108000588

Medical Identifiers

Medical identifiers for Kerry Anne Scully Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235353863NPI-NPPES
8494999MedicaidOR
R0000ZBBWZOtherORMEDICARE GROUP NO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 36695 (Iowa)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 5223915-1205 (Utah)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD27633 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mid-columbia Medical CenterThe dalles, ORHospital
Ohsu Hospital And ClinicsPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-columbia Medical Center377948725193

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. Kerry Anne Scully Proctor allows following entities to bill medicare on her behalf.
Entity NameMid-columbia Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053409599
PECOS PAC ID: 3779487251
Enrollment ID: O20031209000244
Entity NameColumbia Gorge Pathology Associates, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457532517
PECOS PAC ID: 9739343526
Enrollment ID: O20120606000643

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. Kerry Anne Scully Proctor 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
Kerry Anne Scully Proctor, MD
1700 E 19th St,
The Dalles, OR 97058-3317

Ph: (541) 296-1111
Kerry Anne Scully Proctor, MD
1700 E 19th St,
The Dalles, OR 97058-3317

Ph: (541) 296-1111

Reviews and Comments


Pathology Doctors in The Dalles, OR

Dr. Frederick C Schubert, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1700 E 19th St, The Dalles, OR 97058
Phone: 541-296-7760    Fax: 541-296-7619
Mr. Arthur Vaneaton, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 1700 E 19th St, The Dalles, OR 97058
Phone: 541-296-7760    Fax: 541-296-7619
Vassil Kaimaktchiev, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1700 E 19th St, The Dalles, OR 97058
Phone: 541-296-7230    Fax: 541-296-7630
Hahn Huang, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1700 E 19th St, The Dalles, OR 97058
Phone: 541-296-7760    Fax: 541-296-7619

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.