Dmitriy Shore, PA-C in Portland, OR - Medicare Physician Assistant

Dmitriy Shore, PA-C is a medicare enrolled "Physician Assistant - Medical" in Portland, Oregon. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Advanced Pain Management Center, Uptown Providers Pc and his current practice location is 10305 Sw Park Way Ste 300, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 295-0730.

Dmitriy Shore is licensed to practice in Oregon (license number PA00724) 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 1124177902.

Contact Information

	Dmitriy Shore, PA-C
	10305 Sw Park Way Ste 300, Portland, OR 97225-5033
	(503) 295-0730
	(503) 295-0731

Map and Direction

Provider's Profile

Full Name	Dmitriy Shore
Gender	Male
Speciality	Physician Assistant
Experience	24 Years
Location	10305 Sw Park Way Ste 300, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dmitriy Shore graduated from nursing school in 2000

NPI Data:

NPI Number: 1124177902
Provider Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830143460
Enrollment ID: I20140522002443

Medical Identifiers

Medical identifiers for Dmitriy Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124177902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA00724 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Pain Management Center	0648169029	3
Uptown Providers Pc	4284891243	27

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. Dmitriy Shore 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
Dmitriy Shore, PA-C 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 Ph: (503) 295-0730	Dmitriy Shore, PA-C 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 Ph: (503) 295-0730

Reviews and Comments

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Dmitriy Shore, PA-C - Medicare Physician Assistant in Portland, OR