Jay C P Jan, MD | |
1130 Nw 22nd Ave, Suite 500, Portland, OR 97210-2900 | |
(503) 413-5725 | |
(503) 413-5726 |
Full Name | Jay C P Jan |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 28 Years |
Location | 1130 Nw 22nd Ave, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417949926 | NPI | - | NPPES |
227380 | Medicaid | OR | |
8376584 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD24533 (Oregon) | Primary |
208600000X | Surgery | MD00047700 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 137 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
Mailing Address | Practice Location Address |
---|---|
Jay C P Jan, MD 1130 Nw 22nd Ave, Suite 500, Portland, OR 97210-2900 Ph: (503) 413-5725 | Jay C P Jan, MD 1130 Nw 22nd Ave, Suite 500, Portland, OR 97210-2900 Ph: (503) 413-5725 |
Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829 | |
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 | |
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061 | |
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670 | |
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848 | |
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372 |