Mr Jordan Romney Bennett, PA-C is a medicare enrolled "Physician Assistant" in Talent, Oregon. His current practice location is
280 S Pacific Hwy, Talent, Oregon. You can reach out to his office (for appointments etc.) via phone at
(304) 520-6644.
Mr Jordan Romney Bennett is licensed to practice in Oregon (license number PA214334) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396448627.
Provider's Profile
| Full Name | Mr Jordan Romney Bennett |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 280 S Pacific Hwy, Talent, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396448627
- Provider Enumeration Date: 03/24/2023
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789043704
- Enrollment ID: I20230707002919
Medical Identifiers
Medical identifiers for Mr Jordan Romney Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396448627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA214334 (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. Mr Jordan Romney Bennett 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 |
|---|
Mr Jordan Romney Bennett, PA-C
650 Woodlark Dr,
Medford, OR 97501-2625
Ph: (206) 306-5107 | Mr Jordan Romney Bennett, PA-C
280 S Pacific Hwy,
Talent, OR 97540-6649
Ph: (304) 520-6644 |
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