Kristin H Bourret, PAC - Medicare Physician Assistant in Portland, OR

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Kristin H Bourret, PAC is a medicare enrolled "Physician Assistant" in Portland, Oregon. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Providence Health And Services Oregon, Providence Health And Services - Oregon and her current practice location is 4400 Ne Halsey St Ste 102, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 962-1000.

Kristin H Bourret is licensed to practice in Oregon (license number PA01095) 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 1073555306.

Contact Information

Kristin H Bourret, PAC
4400 Ne Halsey St Ste 102,
Portland, OR 97213-1545
(503) 962-1000
Not Available

Map and Direction




Provider's Profile

Full NameKristin H Bourret
GenderFemale
SpecialityPhysician Assistant
Experience21 Years
Location4400 Ne Halsey St Ste 102, Portland, 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:
  • Kristin H Bourret graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1073555306
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 04/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183648173
  • Enrollment ID: I20100624000067

Medical Identifiers

Medical identifiers for Kristin H Bourret such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073555306NPI-NPPES
286755MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA01095 (Oregon)Secondary
363A00000XPhysician Assistant PA01095 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Portland Medical CenterPortland, ORHospital
Providence St Vincent Medical CenterPortland, ORHospital
Providence Willamette Falls Medical CenterOregon city, ORHospital
Providence Milwaukie HospitalMilwaukie, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081423
Providence Health And Services - Oregon5395656284195

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. Kristin H Bourret allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameDahra Perkins MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124429329
PECOS PAC ID: 7214248129
Enrollment ID: O20150618002457

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. Kristin H Bourret 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
Kristin H Bourret, PAC
Po Box 3158,
Portland, OR 97208-3158

Ph: (503) 215-6494		Kristin H Bourret, PAC
4400 Ne Halsey St Ste 102,
Portland, OR 97213-1545

Ph: (503) 962-1000

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.