| Ian Richard Penner, PA-C | |
|
51377 Sw Old Portland Rd, Scappoose, OR 97056-4018 | |
| (503) 543-3181 | |
| Not Available |
| Full Name | Ian Richard Penner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 51377 Sw Old Portland Rd, Scappoose, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457680613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Portland, OR | Home health agency |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Hillsboro Medical Center | Hillsboro, OR | Hospital |
| Avalon Care Center - Scappoose | Scappoose, OR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oregon Health And Science University | 1759328842 | 93 |
| Entity Name | Oregon Health & Science University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417969304 PECOS PAC ID: 1759328842 Enrollment ID: O20050516000173 |
| Entity Name | University Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Richard Penner, PA-C 2717 Ne 10th Ave, Portland, OR 97212-3209 Ph: (503) 335-8141 | Ian Richard Penner, PA-C 51377 Sw Old Portland Rd, Scappoose, OR 97056-4018 Ph: (503) 543-3181 |
Michael Earl Yetter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33721 E Columbia Ave, Scappoose, OR 97056 Phone: 503-418-4222 |
Ms. Sarah Kathleen Esdaile, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 51377 Sw Old Portland Rd, Scappoose, OR 97056 Phone: 503-418-4222 |
Ms. Aubrey Bridges, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51377 Sw Old Portland Rd, Scappoose, OR 97056 Phone: 503-418-4222 |
Ms. Mary C Regan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51377 Sw Old Portland Rd, Scappoose, OR 97056 Phone: 503-418-4222 Fax: 503-418-4223 |
Gregory Randolph, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51377 Sw Old Portland Rd. Suite C, Scappoose, OR 97056 Phone: 503-418-4222 |