Jennae Marie Porter, PA-C in Haleiwa, HI - Physician Assistant

Jennae Marie Porter, PA-C is a Physician Assistant - Medical based in Haleiwa, Hawaii. Jennae Marie Porter is licensed to practice in Hawaii (license number AMD-1050) and her current practice location is 59-016 Holawa St, Haleiwa, Hawaii. She can be reached at her office (for appointments etc.) via phone at (808) 754-9037.

NPI number for Jennae Marie Porter is 1811177231 and her current mailing address is 59-016 Holawa St, Haleiwa, Hawaii. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811177231.

Contact Information

	Jennae Marie Porter, PA-C
	59-016 Holawa St, Haleiwa, HI 96712
	(808) 754-9037
	Not Available

Provider's Profile

Full Name	Jennae Marie Porter
Gender	Female
Speciality	Physician Assistant - Medical
Location	59-016 Holawa St, Haleiwa, Hawaii
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1811177231
Provider Enumeration Date: 11/14/2007
Last Update Date: 08/22/2023

Medical Identifiers

Medical identifiers for Jennae Marie Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811177231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	3739 (Arizona)	Secondary
363AM0700X	Physician Assistant - Medical	AMD-1050 (Hawaii)	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. Jennae Marie Porter is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennae Marie Porter, PA-C 59-016 Holawa St, Haleiwa, HI 96712 Ph: (808) 754-9037	Jennae Marie Porter, PA-C 59-016 Holawa St, Haleiwa, HI 96712 Ph: (808) 754-9037

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Jennae Marie Porter, PA-C - Physician Assistant in Haleiwa, HI