Jennae Marie Porter, PA-C is a
Physician Assistant - Medical based in Haleiwa, Hawaii. Jennae Marie Porter is licensed to practice in Hawaii (license number AMD-1050) and her current practice location is
59-016 Holawa St, Haleiwa, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 754-9037.
NPI number for Jennae Marie Porter is 1811177231 and her current mailing address is 59-016 Holawa St, Haleiwa, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811177231.
Provider's Profile
| Full Name | Jennae Marie Porter |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 59-016 Holawa St, Haleiwa, Hawaii |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811177231
- Provider Enumeration Date: 11/14/2007
- Last Update Date: 08/22/2023
Medical Identifiers
Medical identifiers for Jennae Marie Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811177231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 3739 (Arizona) | Secondary |
| 363AM0700X | Physician Assistant - Medical | AMD-1050 (Hawaii) | 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. Jennae Marie Porter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jennae Marie Porter, PA-C
59-016 Holawa St,
Haleiwa, HI 96712
Ph: (808) 754-9037 | Jennae Marie Porter, PA-C
59-016 Holawa St,
Haleiwa, HI 96712
Ph: (808) 754-9037 |
Reviews and Comments