Kevin G Semonsen, MD - Medicare Radiology in Portland, OR

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Kevin G Semonsen, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Portland, Oregon. His current practice location is 1015 Nw 22nd Ave, Ste T240, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-7127.

Kevin G Semonsen is licensed to practice in Oregon (license number MD16798) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629010087.

Contact Information

Kevin G Semonsen, MD
1015 Nw 22nd Ave, Ste T240,
Portland, OR 97210-3025
(503) 413-7127
(503) 227-0218

Map and Direction




Physician's Profile

Full NameKevin G Semonsen
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1015 Nw 22nd Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629010087
  • Provider Enumeration Date: 06/11/2006
  • Last Update Date: 11/16/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7416859848
  • Enrollment ID: I20040216000696

Medical Identifiers

Medical identifiers for Kevin G Semonsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629010087NPI-NPPES
081484MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD16798 (Oregon)Primary

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. Kevin G Semonsen allows following entities to bill medicare on his behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameLegacy Good Samaritan Hospital And Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780608216
PECOS PAC ID: 0547179939
Enrollment ID: O20031125000416
Entity NameDiagnostic Imaging Nw Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396787727
PECOS PAC ID: 9638071061
Enrollment ID: O20040124000329
Entity NameLegacy Emanuel Hospital & Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831112358
PECOS PAC ID: 4587573639
Enrollment ID: O20040127001204
Entity NameLegacy Meridian Park Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184647620
PECOS PAC ID: 5092609842
Enrollment ID: O20040211001181

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. Kevin G Semonsen 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
Kevin G Semonsen, MD
Po Box 3730, #dinw103,
Portland, OR 97208-3730

Ph: (800) 878-6698		Kevin G Semonsen, MD
1015 Nw 22nd Ave, Ste T240,
Portland, OR 97210-3025

Ph: (503) 413-7127

Reviews and Comments


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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.