Jake Grossman, is a medicare enrolled "Orthopaedic Surgery" physician in Tillamook, Oregon. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northwest Medical Foundation Of Tillamook and his current practice location is
1100 3rd St, Tillamook, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 842-5546.
Jake Grossman is licensed to practice in Oregon (license number PA213489) 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 1043833189.
Physician's Profile
| Full Name | Jake Grossman |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 1100 3rd St, Tillamook, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jake Grossman graduated from medical school in 2022
NPI Data:
- NPI Number: 1043833189
- Provider Enumeration Date: 05/23/2020
- Last Update Date: 08/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759754351
- Enrollment ID: I20230301002521
Medical Identifiers
Medical identifiers for Jake Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043833189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | PA213489 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northwest Medical Foundation Of Tillamook | 5092619569 | 63 |
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. Jake Grossman 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 |
|---|
Jake Grossman,
1100 3rd St,
Tillamook, OR 97141-3402
Ph: (503) 842-5546 | Jake Grossman,
1100 3rd St,
Tillamook, OR 97141-3402
Ph: (503) 842-5546 |
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