Shayne Nicole Willis Baker, PT, DPT, ATC, CIMT in Portland, OR - Medicare Physical Medicine & Rehabilitation

Shayne Nicole Willis Baker, PT, DPT, ATC, CIMT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Portland, Oregon. Her current practice location is 3303 S Bond Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-3151.

Shayne Nicole Willis Baker is licensed to practice in Oregon (license number 5021) 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 1821237652.

Contact Information

	Shayne Nicole Willis Baker, PT, DPT, ATC, CIMT
	3303 S Bond Ave, Portland, OR 97239-4501
	(503) 494-3151
	Not Available

Map and Direction

Physician's Profile

Full Name	Shayne Nicole Willis Baker
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	3303 S Bond Ave, 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: 1821237652
Provider Enumeration Date: 02/18/2009
Last Update Date: 06/07/2020

Medicare PECOS Information:

PECOS PAC ID: 7810922705
Enrollment ID: I20050929000201

Medical Identifiers

Medical identifiers for Shayne Nicole Willis Baker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821237652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	5021 (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. Shayne Nicole Willis Baker allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

Entity Name	Ohsu Outpatient Clinical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336824440 PECOS PAC ID: 7315300571 Enrollment ID: O20230906000508

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. Shayne Nicole Willis Baker 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
Shayne Nicole Willis Baker, PT, DPT, ATC, CIMT 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-3151	Shayne Nicole Willis Baker, PT, DPT, ATC, CIMT 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-3151

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Portland, OR

Danielle Laure Erb, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225 Phone: 503-296-0918 Fax: 503-296-6158
Dr. Duncan Soule, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2617 Nw Thurman St, Portland, OR 97210 Phone: 503-224-9010 Fax: 503-224-5551
Dr. Stephanie K Liu, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10940 Sw Barnes Rd # 375, Portland, OR 97225 Phone: 646-591-7011
Thomas Lorish, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, #440, Portland, OR 97225 Phone: 503-216-7145 Fax: 503-216-4071
Dr. Lynette Santos Malik, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3600 N Interstate Ave, Department Of Physical Medicine, Portland, OR 97227 Phone: 503-331-3070 Fax: 503-331-3089
Dr. Gary Allen Ward, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210 Phone: 503-413-6294 Fax: 503-413-7780
Steven James Janselewitz, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2801 N Gantenbein Ave, Portland, OR 97227 Phone: 503-413-4505

Shayne Nicole Willis Baker, PT, DPT, ATC, CIMT - Medicare Physical Medicine & Rehabilitation in Portland, OR