Nicole Sazonov, is a medicare enrolled "Physician Assistant" physician in Portland, Oregon. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Legacy Clinics Llc and her current practice location is
8329 Sw Beaverton Hillsdale Hwy, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 414-5160.
Nicole Sazonov is licensed to practice in Oregon (license number PA217770) 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 1386364768.
Physician's Profile
| Full Name | Nicole Sazonov |
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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 | 8329 Sw Beaverton Hillsdale Hwy, 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:
- Nicole Sazonov graduated from medical school in 2023
NPI Data:
- NPI Number: 1386364768
- Provider Enumeration Date: 08/29/2022
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840643516
- Enrollment ID: I20240130000089
Medical Identifiers
Medical identifiers for Nicole Sazonov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386364768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | PA217770 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA217770 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Clinics Llc | 0244144004 | 635 |
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 Sazonov 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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Nicole Sazonov,
8329 Sw Beaverton Hillsdale Hwy,
Portland, OR 97225-2215
Ph: () - | Nicole Sazonov,
8329 Sw Beaverton Hillsdale Hwy,
Portland, OR 97225-2215
Ph: (503) 414-5160 |
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