| Mrs Jessica D Benedict, WHCNP | |
|
5289 Ne Elam Young Pkwy Ste 150, Hillsboro, OR 97124-7551 | |
| (971) 353-4925 | |
| Not Available |
| Full Name | Mrs Jessica D Benedict |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 5289 Ne Elam Young Pkwy Ste 150, Hillsboro, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740542919 | NPI | - | NPPES |
| 500645846 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 201250073NP (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fanno Creek Clinic Llc | 0042100521 | 24 |
| Chidimma Abanulo, Md, Llc | 3072961978 | 3 |
| Entity Name | Fanno Creek Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609876705 PECOS PAC ID: 0042100521 Enrollment ID: O20040318000244 |
| Entity Name | Chidimma Abanulo, Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336924166 PECOS PAC ID: 3072961978 Enrollment ID: O20231204001506 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica D Benedict, WHCNP 5289 Ne Elam Young Pkwy Ste 150, Hillsboro, OR 97124-7551 Ph: (971) 353-4925 | Mrs Jessica D Benedict, WHCNP 5289 Ne Elam Young Pkwy Ste 150, Hillsboro, OR 97124-7551 Ph: (971) 353-4925 |
Mrs. Christine Marie Douglas, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Se Washington St, Hillsboro, OR 97123 Phone: 503-755-6703 Fax: 503-755-6704 | |
Tina M Barber, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19075 Nw Tanasbourne Dr, Suit 200, Hillsboro, OR 97124 Phone: 503-684-8252 | |
Timothy Charles Kruth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124 Phone: 503-848-5861 Fax: 503-848-5863 | |
Ms. Kathryn Rose Van Beeck, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 | |
Sydney Lea Larson, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7431 Ne Evergreen Pkwy Ste 100, Hillsboro, OR 97124 Phone: 503-840-3400 Fax: 503-840-3409 | |
Margaret Wittenauer-lee, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave Suite 5550, Hillsboro, OR 97123 Phone: 503-681-4273 | |
Patricia Hazel Glazier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4660 Ne Belknap Ct, Suite 109, Hillsboro, OR 97124 Phone: 503-693-1944 Fax: 503-693-1941 |