Dr Evylon Aymea Rose Whitacre, MD in Portland, OR

Dr Evylon Aymea Rose Whitacre, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Healthy Living Community and her current practice location is 3605 Se 26th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 231-4536.

Dr Evylon Aymea Rose Whitacre is licensed to practice in Oregon (license number MD215234) 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 1730356858.

Contact Information

	Dr Evylon Aymea Rose Whitacre, MD
	3605 Se 26th Ave, Portland, OR 97202-2953
	(971) 231-4536
	(503) 376-3790

Map and Direction

Physician's Profile

Full Name	Dr Evylon Aymea Rose Whitacre
Gender	Female
Speciality	General Practice
Experience	19 Years
Location	3605 Se 26th Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Evylon Aymea Rose Whitacre graduated from medical school in 2007

NPI Data:

NPI Number: 1730356858
Provider Enumeration Date: 05/08/2008
Last Update Date: 12/29/2025

Medicare PECOS Information:

PECOS PAC ID: 8123215241
Enrollment ID: I20240611003258

Medical Identifiers

Medical identifiers for Dr Evylon Aymea Rose Whitacre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730356858	NPI	-	NPPES
MD60106651	Other	WA	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD215234 (Oregon)	Primary
207Q00000X	Family Medicine	MD60106651 (Washington)	Secondary
208D00000X	General Practice	MD60106651 (Washington)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthy Living Community	6204277817	2

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. Dr Evylon Aymea Rose Whitacre allows following entities to bill medicare on her behalf.

Entity Name	Healthy Living Community
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700446085 PECOS PAC ID: 6204277817 Enrollment ID: O20240514002875

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. Dr Evylon Aymea Rose Whitacre 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
Dr Evylon Aymea Rose Whitacre, MD 3605 Se 26th Ave, Portland, OR 97202-2953 Ph: (971) 231-4536	Dr Evylon Aymea Rose Whitacre, MD 3605 Se 26th Ave, Portland, OR 97202-2953 Ph: (971) 231-4536

Reviews and Comments

Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779

Dr Evylon Aymea Rose Whitacre, MD - Medicare General Practice in Portland, OR