Audra Rachelle Norris-jacob, MD - Medicare Obstetrics/gynecology in Gresham, OR

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Audra Rachelle Norris-jacob, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Gresham, Oregon. She went to Emory University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Legacy Clinics Llc and her current practice location is 24850 Se Stark St Ste 200, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 491-9444.

Audra Rachelle Norris-jacob is licensed to practice in Oregon (license number MD168646) 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 1770809303.

Contact Information

Audra Rachelle Norris-jacob, MD
24850 Se Stark St Ste 200,
Gresham, OR 97030-8320
(503) 491-9444
Not Available

Map and Direction




Physician's Profile

Full NameAudra Rachelle Norris-jacob
GenderFemale
SpecialityObstetrics/gynecology
Experience14 Years
Location24850 Se Stark St Ste 200, Gresham, 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:
  • Audra Rachelle Norris-jacob attended and graduated from Emory University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1770809303
  • Provider Enumeration Date: 04/07/2010
  • Last Update Date: 10/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8224283791
  • Enrollment ID: I20150327002611

Medical Identifiers

Medical identifiers for Audra Rachelle Norris-jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770809303NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD168646 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Mount Hood Medical CenterGresham, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004633

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. Audra Rachelle Norris-jacob 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 NameSilverton Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172

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. Audra Rachelle Norris-jacob 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
Audra Rachelle Norris-jacob, MD
24850 Se Stark St Ste 200,
Gresham, OR 97030-8320

Ph: (503) 491-9444		Audra Rachelle Norris-jacob, MD
24850 Se Stark St Ste 200,
Gresham, OR 97030-8320

Ph: (503) 491-9444

Reviews and Comments


Obstetrics & Gynecology Doctors in Gresham, OR

Dr. Daniel Marvin Patchin, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4215 Se Regner Rd, Gresham, OR 97080
Phone: 503-665-8500    
Dr. Kelly Annette Carter, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 24850 Se Stark St, Suite 200, Gresham, OR 97030
Phone: 503-661-0464    Fax: 503-661-1420
Renee Nicole Goodreau, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1750    
Sandra Ann Collis, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 24850 Se Stark St, Suite 200, Gresham, OR 97030
Phone: 503-491-9444    Fax: 503-661-1420
Dr. Marilynn Janice Denson, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-491-9444    
Michelle Cecile Champagne, CNM
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Suite 200, Gresham, OR 97030
Phone: 503-491-9444    Fax: 503-661-1420

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.