Dr Jeffrey Owen Pentecost, DO - Medicare General Practice in Portland, OR

Dr Jeffrey Owen Pentecost, DO is a medicare enrolled "General Practice" physician in Portland, Oregon. His current practice location is 3574 Se Harold Ct, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 280-1621.

Dr Jeffrey Owen Pentecost is licensed to practice in Oregon (license number DO16894) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861770190.

Contact Information

Dr Jeffrey Owen Pentecost, DO
3574 Se Harold Ct,
Portland, OR 97202-4344
(503) 280-1621
Not Available



Physician's Profile

Full NameDr Jeffrey Owen Pentecost
GenderMale
SpecialityGeneral Practice
Location3574 Se Harold Ct, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861770190
  • Provider Enumeration Date: 08/03/2011
  • Last Update Date: 08/03/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2466682737
  • Enrollment ID: I20140306000422

Medical Identifiers

Medical identifiers for Dr Jeffrey Owen Pentecost such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861770190NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice DO16894 (Oregon)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. Dr Jeffrey Owen Pentecost 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
Dr Jeffrey Owen Pentecost, DO
3574 Se Harold Ct,
Portland, OR 97202-4344

Ph: () -
Dr Jeffrey Owen Pentecost, DO
3574 Se Harold Ct,
Portland, OR 97202-4344

Ph: (503) 280-1621

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General Practice Doctors in Portland, OR

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Practice Location: 8353 Se Clatsop Ct, Portland, OR 97266
Phone: 505-604-3810    

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