Kenneth Lee Reckard, PA-C in Tualatin, OR - Medicare Physician Assistant

Kenneth Lee Reckard, PA-C is a medicare enrolled "Physician Assistant - Medical" in Tualatin, Oregon. He graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Oregon Clinic, Pc and his current practice location is 19250 Sw 90th Ave, Tualatin, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 692-3750.

Kenneth Lee Reckard is licensed to practice in Oregon (license number PA01082) 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 1083635916.

Contact Information

	Kenneth Lee Reckard, PA-C
	19250 Sw 90th Ave, Tualatin, OR 97062-7585
	(503) 692-3750
	(503) 691-2324

Map and Direction

Provider's Profile

Full Name	Kenneth Lee Reckard
Gender	Male
Speciality	Physician Assistant
Experience	20 Years
Location	19250 Sw 90th Ave, Tualatin, 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:

Kenneth Lee Reckard graduated from nursing school in 2005

NPI Data:

NPI Number: 1083635916
Provider Enumeration Date: 07/23/2006
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4688699085
Enrollment ID: I20051013000722

Medical Identifiers

Medical identifiers for Kenneth Lee Reckard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083635916	NPI	-	NPPES
500604351	Medicaid	OR
1083635916	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA01082 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Newberg Medical Center	Newberg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Oregon Clinic, Pc	2860390408	324

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. Kenneth Lee Reckard 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
Kenneth Lee Reckard, PA-C 847 Ne 19th Ave, Suite 300, Portland, OR 97232-2684 Ph: (503) 963-2801	Kenneth Lee Reckard, PA-C 19250 Sw 90th Ave, Tualatin, OR 97062-7585 Ph: (503) 692-3750

Reviews and Comments

Physician Assistant Nurses in Tualatin, OR

Lisa Mae Cowan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19260 Sw 65th Ave Ste 270, Tualatin, OR 97062 Phone: 503-885-9391 Fax: 503-563-5520
Ryan Cate, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-813-2000
Ms. Mary E. Morrison, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-885-7300
Won Bahng Hwee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 235, Tualatin, OR 97062 Phone: 503-692-4820 Fax: 503-612-0793
Breeana K Roche, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave Ste 435, Tualatin, OR 97062 Phone: 503-692-2032
Tyler Garrett Huntington, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062 Phone: 503-885-1515 Fax: 503-885-1520

Kenneth Lee Reckard, PA-C - Medicare Physician Assistant in Tualatin, OR