Nicole Jene Fennimore, MD in Portland, OR - Medicare Obstetrics & Gynecology

Nicole Jene Fennimore, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Oregon. Her current practice location is 10101 Se Main St Ste 3001, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 261-4423.

Nicole Jene Fennimore is licensed to practice in Oregon (license number MD205498) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922569748.

Contact Information

	Nicole Jene Fennimore, MD
	10101 Se Main St Ste 3001, Portland, OR 97216-2458
	(503) 261-4423
	(503) 261-4424

Map and Direction

Physician's Profile

Full Name	Nicole Jene Fennimore
Gender	Female
Speciality	Obstetrics & Gynecology
Location	10101 Se Main St Ste 3001, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922569748
Provider Enumeration Date: 03/26/2019
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2264769207
Enrollment ID: I20230918000410

Medical Identifiers

Medical identifiers for Nicole Jene Fennimore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922569748	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD205498 (Oregon)	Primary

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. Nicole Jene Fennimore allows following entities to bill medicare on her behalf.

Entity Name	Portland Adventist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750091021 PECOS PAC ID: 3274908819 Enrollment ID: O20230412001327

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. Nicole Jene Fennimore 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
Nicole Jene Fennimore, MD 10101 Se Main St Ste 3001, Portland, OR 97216-2458 Ph: (503) 261-4423	Nicole Jene Fennimore, MD 10101 Se Main St Ste 3001, Portland, OR 97216-2458 Ph: (503) 261-4423

Reviews and Comments

Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216 Phone: 503-261-4423 Fax: 503-261-4424
John Gilbert Buckmaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4200
Darlene J Dodson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225 Phone: 503-216-3388
Antonio E Frias, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4200 Fax: 503-494-4473
Sig-linda Jacobson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5006 Sw Martha St, Portland, OR 97221 Phone: 503-806-7854
Laila Raad Sillay, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225 Phone: 503-445-0590
Carolyn Marie Withee, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9135 Sw Barnes Rd Ste 761, Portland, OR 97225 Phone: 503-216-2602

Nicole Jene Fennimore, MD - Medicare Obstetrics & Gynecology in Portland, OR