Jessica Esther Radway, PA-C is a medicare enrolled "Specialist" in Portland, Maine. Her current practice location is
51 Sewall St Ste 1, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 774-5761.
Jessica Esther Radway is licensed to practice in Maine (license number PA1564) 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 1194020891.
Provider's Profile
| Full Name | Jessica Esther Radway |
|---|
| Gender | Female |
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| Speciality | Specialist |
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| Location | 51 Sewall St Ste 1, Portland, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194020891
- Provider Enumeration Date: 01/11/2011
- Last Update Date: 09/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 7214173350
- Enrollment ID: I20220930002454
Medical Identifiers
Medical identifiers for Jessica Esther Radway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194020891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA161551 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | N/A (* (Not Available)) | Secondary |
| 174400000X | Specialist | PA1564 (Maine) | 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. Jessica Esther Radway 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 |
|---|
Jessica Esther Radway, PA-C
51 Sewall St Ste 1,
Portland, ME 04102-2697
Ph: (207) 774-5761 | Jessica Esther Radway, PA-C
51 Sewall St Ste 1,
Portland, ME 04102
Ph: (207) 774-5761 |
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