Nicole L Dane, PA-C is a medicare enrolled "Physician Assistant" physician in Canby, Oregon. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Silverton Health and her current practice location is
345 N Grant St, Canby, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 266-2066.
Nicole L Dane is licensed to practice in Oregon (license number PA211194) 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 1255954277.
Physician's Profile
| Full Name | Nicole L Dane |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 345 N Grant St, Canby, 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:
- Nicole L Dane graduated from medical school in 2022
NPI Data:
- NPI Number: 1255954277
- Provider Enumeration Date: 05/26/2020
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779952098
- Enrollment ID: I20221208001809
Medical Identifiers
Medical identifiers for Nicole L Dane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255954277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA211194 (Oregon) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA211194 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA211194 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Silverton Health | 8921901877 | 125 |
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. Nicole L Dane 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 |
|---|
Nicole L Dane, PA-C
345 N Grant St,
Canby, OR 97013-3610
Ph: (360) 393-9752 | Nicole L Dane, PA-C
345 N Grant St,
Canby, OR 97013-3689
Ph: (503) 266-2066 |
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