Mr Satchel Harry, PA-C in Portland, OR - Medicare Physician Assistant

Mr Satchel Harry, PA-C is a medicare enrolled "Physician Assistant" in Portland, Oregon. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Legacy Good Samaritan Hospital And Medical Center and his current practice location is 417 Sw 117th Ave Fl 2, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 216-8980.

Mr Satchel Harry is licensed to practice in Oregon (license number PA179787) 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 1235687013.

Contact Information

	Mr Satchel Harry, PA-C
	417 Sw 117th Ave Fl 2, Portland, OR 97225-5924
	(503) 216-8980
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Satchel Harry
Gender	Male
Speciality	Physician Assistant
Experience	8 Years
Location	417 Sw 117th Ave Fl 2, Portland, 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.

Medical Education and Training:

Mr Satchel Harry graduated from nursing school in 2016

NPI Data:

NPI Number: 1235687013
Provider Enumeration Date: 09/21/2016
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1153609318
Enrollment ID: I20161024001365

Medical Identifiers

Medical identifiers for Mr Satchel Harry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235687013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	179787 (Oregon)	Secondary
363A00000X	Physician Assistant	PA179787 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Good Samaritan Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Good Samaritan Hospital And Medical Center	0547179939	128

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 Satchel Harry 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 Satchel Harry, PA-C 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 Ph: (503) 216-8980	Mr Satchel Harry, PA-C 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 Ph: (503) 216-8980

Reviews and Comments

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Mr Satchel Harry, PA-C - Medicare Physician Assistant in Portland, OR