Lauren Rebecca Holmes, PA-C - Medicare Physician Assistant in Portland, OR

Lauren Rebecca Holmes, PA-C is a medicare enrolled "Physician Assistant - Medical" in Portland, Oregon. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Professional Services and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-7400.

Lauren Rebecca Holmes is licensed to practice in Oregon (license number PA186509) 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 1548510696.

Contact Information

Lauren Rebecca Holmes, PA-C
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-7400
(503) 494-4749

Map and Direction




Provider's Profile

Full NameLauren Rebecca Holmes
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lauren Rebecca Holmes graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1548510696
  • Provider Enumeration Date: 09/17/2012
  • Last Update Date: 12/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759536790
  • Enrollment ID: I20180516000064

Medical Identifiers

Medical identifiers for Lauren Rebecca Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548510696NPI-NPPES
2398393MedicaidLA
05056736MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA186509 (Oregon)Secondary
363AM0700XPhysician Assistant - Medical PA186509 (Oregon)Primary
363AM0700XPhysician Assistant - Medical PA.200824 (Louisiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohsu Hospital And ClinicsPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Professional Services48807601071683

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lauren Rebecca Holmes allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameTuality Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275591984
PECOS PAC ID: 3678486107
Enrollment ID: O20040130000359
Entity NameNorthwest Acute Care Specialists PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215983200
PECOS PAC ID: 7012807373
Enrollment ID: O20040318001535
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013
Entity NameTuality Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

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. Lauren Rebecca Holmes 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 AddressPractice Location Address
Lauren Rebecca Holmes, PA-C
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-7400
Lauren Rebecca Holmes, PA-C
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-7400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.