Kimberly Sue-ann Avery, - Medicare Emergency Medicine in Silverton, OR

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Kimberly Sue-ann Avery, is a medicare enrolled "Emergency Medicine" physician in Silverton, Oregon. Her current practice location is 342 Fairview St, Silverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 873-1500.

Kimberly Sue-ann Avery is licensed to practice in Oregon (license number DO224207) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861994055.

Contact Information

Kimberly Sue-ann Avery,
342 Fairview St,
Silverton, OR 97381
(503) 873-1500
Not Available

Map and Direction




Physician's Profile

Full NameKimberly Sue-ann Avery
GenderFemale
SpecialityEmergency Medicine
Location342 Fairview St, Silverton, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861994055
  • Provider Enumeration Date: 03/02/2018
  • Last Update Date: 05/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375965973
  • Enrollment ID: I20240702002269

Medical Identifiers

Medical identifiers for Kimberly Sue-ann Avery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861994055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine DO224207 (Oregon)Primary
207P00000XEmergency Medicine 5101027806 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Kimberly Sue-ann Avery allows following entities to bill medicare on her behalf.
Entity NameSouthwestern Michigan Emergency Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013021310
PECOS PAC ID: 1456265891
Enrollment ID: O20040211000832
Entity NameSturgis Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255668893
PECOS PAC ID: 5395884621
Enrollment ID: O20100213000070
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912687328
PECOS PAC ID: 6608056171
Enrollment ID: O20230815000906
Entity NameVituity-michigan Health Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750102323
PECOS PAC ID: 9931635430
Enrollment ID: O20241206002802

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. Kimberly Sue-ann Avery 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
Kimberly Sue-ann Avery,
Po Box 3417,
Portland, OR 97208-3417

Ph: () -		Kimberly Sue-ann Avery,
342 Fairview St,
Silverton, OR 97381

Ph: (503) 873-1500

Reviews and Comments


Emergency Medicine Doctors in Silverton, OR

Mrs. Ashley E Zielinski, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 342 Fairview Street, Silverton, OR 97381
Phone: 503-873-1500    Fax: 503-873-1534
Jennifer Elise Tornay, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 342 Fairview St, Silverton, OR 97381
Phone: 503-873-1500    
Mr. Jeffrey C Hemstreet, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 342 Fairview Street, Silverton, OR 97381
Phone: 503-873-1500    Fax: 970-586-9096
Dr. Rebecca Lynn Palmer, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 342 Fairview St, Silverton, OR 97381
Phone: 503-873-1500    
Matthew Basinger, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 342 Fairview St, Silverton, OR 97381
Phone: 503-873-1500    
Dr. Kenneth J. Kolarsky, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 342 Fairview St, Silverton, OR 97381
Phone: 503-873-1690    Fax: 503-873-1656
Dr. Robert William Chisholm, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 342 Fairview St, Silverton, OR 97381
Phone: 503-873-1691    

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.