Madison Marie Mabry, PAC in Portland, OR - Medicare Physician Assistant

Madison Marie Mabry, PAC is a medicare enrolled "Physician Assistant - Surgical" in Portland, Oregon. Her current practice location is 5050 Ne Hoyt St Ste 138, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 238-1061.

Madison Marie Mabry is licensed to practice in Oregon (license number PA213704) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194348219.

Contact Information

	Madison Marie Mabry, PAC
	5050 Ne Hoyt St Ste 138, Portland, OR 97213-2955
	(503) 238-1061
	(503) 238-0841

Map and Direction

Provider's Profile

Full Name	Madison Marie Mabry
Gender	Female
Speciality	Physician Assistant - Surgical
Location	5050 Ne Hoyt St Ste 138, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194348219
Provider Enumeration Date: 05/22/2020
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8820467442
Enrollment ID: I20221202002277

Medical Identifiers

Medical identifiers for Madison Marie Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194348219	NPI	-	NPPES
500812454	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA213704 (Oregon)	Primary

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. Madison Marie Mabry 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
Madison Marie Mabry, PAC 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Madison Marie Mabry, PAC 5050 Ne Hoyt St Ste 138, Portland, OR 97213-2955 Ph: (503) 238-1061

Reviews and Comments

Physician Assistant Nurses in Portland, OR

James Francis Deitle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708
David Pritchett, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910
Abby O'keefe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4411 Sw Vermont St, Portland, OR 97219 Phone: 503-494-9992 Fax: 503-494-1967
Mr. Alvin Ashneel Prasad, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2730 Sw Moody Ave, Portland, OR 97201 Phone: 503-494-3633

Madison Marie Mabry, PAC - Medicare Physician Assistant in Portland, OR