Mr Michael Takagi, PA-C is a medicare enrolled "Physician Assistant - Medical" in Condon, Oregon. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice South Gilliam County Health Dist and his current practice location is
422 N Main St, Condon, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 384-2061.
Mr Michael Takagi is licensed to practice in Oregon (license number PA-165453) 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 1285844407.
Provider's Profile
| Full Name | Mr Michael Takagi |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 422 N Main St, Condon, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Michael Takagi graduated from nursing school in 2006
NPI Data:
- NPI Number: 1285844407
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 01/03/2014
Medicare PECOS Information:
- PECOS PAC ID: 6507950417
- Enrollment ID: I20140425000513
Medical Identifiers
Medical identifiers for Mr Michael Takagi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285844407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | AMD-295 (Hawaii) | Secondary |
| 363A00000X | Physician Assistant | PA-791 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | TL 568 (Wyoming) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-165453 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| South Gilliam County Health Dist | 6204914005 | 3 |
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. Mr Michael Takagi 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 |
|---|
Mr Michael Takagi, PA-C
422 N Main St, Po Box 597,
Condon, OR 97823-7651
Ph: (541) 384-2061 | Mr Michael Takagi, PA-C
422 N Main St,
Condon, OR 97823-7651
Ph: (541) 384-2061 |
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