Jacob Mitchell, PA-C - Medicare Physician Assistant in Dallas, OR

Jacob Mitchell, PA-C is a medicare enrolled "Physician Assistant" in Dallas, Oregon. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Salem Health and his current practice location is 1000 Se Uglow Ave, Dallas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 623-8376.

Jacob Mitchell is licensed to practice in Oregon (license number PA195749) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598250292.

Contact Information

Jacob Mitchell, PA-C
1000 Se Uglow Ave,
Dallas, OR 97338-2645
(503) 623-8376
Not Available

Map and Direction




Provider's Profile

Full NameJacob Mitchell
GenderMale
SpecialityPhysician Assistant
Experience5 Years
Location1000 Se Uglow Ave, Dallas, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Mitchell graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1598250292
  • Provider Enumeration Date: 06/25/2018
  • Last Update Date: 03/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2466885033
  • Enrollment ID: I20200319000612

Medical Identifiers

Medical identifiers for Jacob Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598250292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA195749 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley HospitalDallas, ORHospital
Salem HospitalSalem, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Salem Health8628986668393

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. Jacob Mitchell 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 AddressPractice Location Address
Jacob Mitchell, PA-C
Po Box 13129,
Salem, OR 97309-1129

Ph: () -
Jacob Mitchell, PA-C
1000 Se Uglow Ave,
Dallas, OR 97338-2645

Ph: (503) 623-8376

Reviews and Comments


Physician Assistant Nurses in Dallas, OR

Anna U Severin, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338
Phone: 503-623-8376    Fax: 503-623-5293
Kari Wattenbarger, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338
Phone: 503-623-8376    
Chelsea Ruhoff Lee, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338
Phone: 503-623-8376    
Mrs. Julia Lee Charmayne Pulliam, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 641 Se Miller Ave, Dallas, OR 97338
Phone: 503-623-2345    Fax: 503-623-1944

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.