Haley Brooke Moak, PA-C in Portland, OR - Medicare Physician Assistant

Haley Brooke Moak, PA-C is a medicare enrolled "Physician Assistant" in Portland, Oregon. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 10803 Se Cherry Blossom Dr, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 261-7200.

Haley Brooke Moak is licensed to practice in Oregon (license number ) 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 1639697709.

Contact Information

	Haley Brooke Moak, PA-C
	10803 Se Cherry Blossom Dr, Portland, OR 97216-3107
	(503) 261-7200
	(503) 261-7226

Map and Direction

Provider's Profile

Full Name	Haley Brooke Moak
Gender	Female
Speciality	Physician Assistant
Experience	7 Years
Location	10803 Se Cherry Blossom Dr, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Haley Brooke Moak graduated from nursing school in 2017

NPI Data:

NPI Number: 1639697709
Provider Enumeration Date: 09/08/2017
Last Update Date: 09/08/2017

Medicare PECOS Information:

PECOS PAC ID: 2466719711
Enrollment ID: I20200218002932

Medical Identifiers

Medical identifiers for Haley Brooke Moak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639697709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital
St Luke's Nampa Medical Center	Nampa, ID	Hospital
St Luke's Elmore Medical Center	Mountain home, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	991

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. Haley Brooke Moak 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
Haley Brooke Moak, PA-C 911 Sw 21st Ave Apt 204, Portland, OR 97205-1565 Ph: (541) 519-2923	Haley Brooke Moak, PA-C 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 Ph: (503) 261-7200

Reviews and Comments

Physician Assistant Nurses in Portland, OR

James Francis Deitle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708
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Kayla Mae Eversole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
Mackenzie Jean Eikamp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1620 Fax: 503-494-6670

Haley Brooke Moak, PA-C - Medicare Physician Assistant in Portland, OR