Jennifer Kay Bane, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Portland, Oregon. Her current practice location is
511 Sw 10th Ave, Suite 1301, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 228-0155.
Jennifer Kay Bane is licensed to practice in Oregon (license number 173635) 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 1033437298.
Physician's Profile
| Full Name | Jennifer Kay Bane |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 511 Sw 10th Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033437298
- Provider Enumeration Date: 05/12/2010
- Last Update Date: 12/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 9032241955
- Enrollment ID: I20100713000186
Medical Identifiers
Medical identifiers for Jennifer Kay Bane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033437298 | NPI | - | NPPES |
| 2010430 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207K00000X | Allergy & Immunology | PA173635 (Oregon) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA10004564 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 173635 (Oregon) | Primary |
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. Jennifer Kay Bane 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 |
Jennifer Kay Bane, PA-C 511 Sw 10th Ave Ste 1301, Portland, OR 97205-2714 Ph: (503) 228-0155 | Jennifer Kay Bane, PA-C 511 Sw 10th Ave, Suite 1301, Portland, OR 97205-2732 Ph: (503) 228-0155 |
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