Pamela J Phelan, PAC is a medicare enrolled "Physician Assistant - Surgical" physician in Portland, Oregon. Her current practice location is
6958 Sw Varns Street, Southwest Diagnostic Imaging, Ltd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 683-7730.
Pamela J Phelan is licensed to practice in Oregon (license number PA203665) 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 1649239278.
Physician's Profile
Full Name | Pamela J Phelan |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 6958 Sw Varns Street, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649239278
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 01/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537183777
- Enrollment ID: I20220113001952
Medical Identifiers
Medical identifiers for Pamela J Phelan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649239278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 3302 (Arizona) | Secondary |
363AS0400X | Physician Assistant - Surgical | PA203665 (Oregon) | Primary |
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. Pamela J Phelan 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 |
Pamela J Phelan, PAC 6958 Sw Varns Street, Southwest Diagnostic Imaging, Ltd, Portland, OR 97223-2530 Ph: (503) 683-7730 | Pamela J Phelan, PAC 6958 Sw Varns Street, Southwest Diagnostic Imaging, Ltd, Portland, OR 97223-2530 Ph: (503) 683-7730 |
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