Mallory Marie Mcnicholas Dotson, PA-C in Portland, OR

Mallory Marie Mcnicholas Dotson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Portland, Oregon. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Portland Adventist Medical Center and her current practice location is 10000 Se Main St, Suite 112, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 255-3054.

Mallory Marie Mcnicholas Dotson is licensed to practice in Oregon (license number PA1405) 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 1114179116.

Contact Information

	Mallory Marie Mcnicholas Dotson, PA-C
	10000 Se Main St, Suite 112, Portland, OR 97216-2448
	(503) 255-3054
	(503) 255-7651

Map and Direction

Provider's Profile

Full Name	Mallory Marie Mcnicholas Dotson
Gender	Female
Speciality	Physician Assistant
Experience	16 Years
Location	10000 Se Main St, 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:

Mallory Marie Mcnicholas Dotson graduated from nursing school in 2008

NPI Data:

NPI Number: 1114179116
Provider Enumeration Date: 10/21/2008
Last Update Date: 01/08/2015

Medicare PECOS Information:

PECOS PAC ID: 6709942428
Enrollment ID: I20090304000838

Medical Identifiers

Medical identifiers for Mallory Marie Mcnicholas Dotson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114179116	NPI	-	NPPES
PA1405	Other	OR	LICENCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA1405 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Portland	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portland Adventist Medical Center	3274908819	242

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. Mallory Marie Mcnicholas Dotson 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
Mallory Marie Mcnicholas Dotson, PA-C 10000 Se Main St, Suite 112, Portland, OR 97216-2448 Ph: (503) 255-3054	Mallory Marie Mcnicholas Dotson, PA-C 10000 Se Main St, Suite 112, Portland, OR 97216-2448 Ph: (503) 255-3054

Reviews and Comments

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Mallory Marie Mcnicholas Dotson, PA-C - Medicare Physician Assistant in Portland, OR