Ms Shalyn M Vanderbloemen, PA-C is a medicare enrolled "Physician Assistant" physician in Portland, Oregon. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Vanderbilt University Medical Center and her current practice location is
2222 Nw Lovejoy St Ste 606, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 413-5915.
Ms Shalyn M Vanderbloemen is licensed to practice in Oregon (license number PA223210) 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 1861620114.
Physician's Profile
| Full Name | Ms Shalyn M Vanderbloemen |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 2222 Nw Lovejoy St Ste 606, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Shalyn M Vanderbloemen graduated from medical school in 2009
NPI Data:
- NPI Number: 1861620114
- Provider Enumeration Date: 06/25/2009
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385797406
- Enrollment ID: I20210125000963
Medical Identifiers
Medical identifiers for Ms Shalyn M Vanderbloemen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861620114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 4402 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 4402 (Tennessee) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 4402 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | PA223210 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vanderbilt University Medical Center | 5092023416 | 2960 |
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. Ms Shalyn M Vanderbloemen 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 |
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Ms Shalyn M Vanderbloemen, PA-C
Po Box 3808,
Portland, OR 97208-3808
Ph: () - | Ms Shalyn M Vanderbloemen, PA-C
2222 Nw Lovejoy St Ste 606,
Portland, OR 97210-5104
Ph: (503) 413-5915 |
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