Jason Thomas Summerlin, PA - Medicare Family Medicine in Salem, OR

Jason Thomas Summerlin, PA is a medicare enrolled "Family Medicine" physician in Salem, Oregon. His current practice location is 255 Lancaster Dr Ne, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 576-8400.

Jason Thomas Summerlin is licensed to practice in Oregon (license number PA216592) 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 1093495632.

Contact Information

Jason Thomas Summerlin, PA
255 Lancaster Dr Ne,
Salem, OR 97301-5155
(503) 576-8400
(503) 364-0775



Physician's Profile

Full NameJason Thomas Summerlin
GenderMale
SpecialityFamily Medicine
Location255 Lancaster Dr Ne, Salem, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093495632
  • Provider Enumeration Date: 07/19/2023
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294198529
  • Enrollment ID: I20230901003449

Medical Identifiers

Medical identifiers for Jason Thomas Summerlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093495632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine PA216592 (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. Jason Thomas Summerlin 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
Jason Thomas Summerlin, PA
255 Lancaster Dr Ne,
Salem, OR 97301-5155

Ph: (503) 576-8400
Jason Thomas Summerlin, PA
255 Lancaster Dr Ne,
Salem, OR 97301-5155

Ph: (503) 576-8400

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› Verified 2 days ago


Family Medicine Doctors in Salem, OR

Dr. Bethany Wohletz, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1160 Wallace Rd Nw, Salem, OR 97304
Phone: 503-304-5716    Fax: 503-304-5719
Samantha Easterly, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2020 Capitol St Ne, Salem, OR 97301
Phone: 503-399-2424    Fax: 503-375-7451
Rosamund M Irwin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2600 Center St Ne, Salem, OR 97301
Phone: 503-945-2800    
Jack Buchanan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1002 Bellevue St Se, Salem Hospital Urgent Care Center, Salem, OR 97301
Phone: 503-561-5554    
Shwetha R Gurram, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 966 12th St Se Ste 130, Salem, OR 97302
Phone: 503-814-4400    
Jeanette Walker, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5560 Witzel Rd Se, Salem, OR 97317
Phone: 503-581-8251    Fax: 866-372-4073
Mark Joseph Scherlie, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1275 Wallace Rd Nw, Salem, OR 97304
Phone: 503-371-3232    Fax: 503-375-2398

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