Jeffrey Allan Koller, PA-C is a medicare enrolled "Physician Assistant" in Sublimity, Oregon. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Santiam Memorial Hospital, Physical Therapy Northwest Limited Partnership and his current practice location is
114 Se Church St, Sublimity, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 769-2259.
Jeffrey Allan Koller is licensed to practice in Oregon (license number PA218511) 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 1215790639.
Provider's Profile
| Full Name | Jeffrey Allan Koller |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 114 Se Church St, Sublimity, Oregon |
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| Accepts Medicare Assignments | Yes. He 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:
- Jeffrey Allan Koller graduated from nursing school in 2023
NPI Data:
- NPI Number: 1215790639
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749629681
- Enrollment ID: I20240411003577
Medical Identifiers
Medical identifiers for Jeffrey Allan Koller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215790639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA218511 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Santiam Memorial Hospital | 6103729751 | 95 |
| Physical Therapy Northwest Limited Partnership | 7719243807 | 223 |
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. Jeffrey Allan Koller 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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Jeffrey Allan Koller, PA-C
4847 Verda Ln Ne Apt 302,
Keizer, OR 97303
Ph: (605) 760-0590 | Jeffrey Allan Koller, PA-C
114 Se Church St,
Sublimity, OR 97385-9424
Ph: (503) 769-2259 |
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