Nolan Bastendorff, PA - Medicare Physician Assistant in Grants Pass, OR

Nolan Bastendorff, PA is a medicare enrolled "Physician Assistant" in Grants Pass, Oregon. His current practice location is 537 Union Ave Fl 2, Grants Pass, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 507-2110.

Nolan Bastendorff is licensed to practice in Oregon (license number ) 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 1104505031.

Contact Information

Nolan Bastendorff, PA
537 Union Ave Fl 2,
Grants Pass, OR 97527-5543
(541) 507-2110
Not Available



Provider's Profile

Full NameNolan Bastendorff
GenderMale
SpecialityPhysician Assistant
Location537 Union Ave Fl 2, Grants Pass, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104505031
  • Provider Enumeration Date: 07/17/2023
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749625192
  • Enrollment ID: I20240226002295

Medical Identifiers

Medical identifiers for Nolan Bastendorff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104505031NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (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. Nolan Bastendorff 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
Nolan Bastendorff, PA
537 Union Ave Fl 2,
Grants Pass, OR 97527-5543

Ph: () -
Nolan Bastendorff, PA
537 Union Ave Fl 2,
Grants Pass, OR 97527-5543

Ph: (541) 507-2110

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Physician Assistant Nurses in Grants Pass, OR

Jordan Personius, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527
Phone: 541-789-4281    
Kailey R Kelly, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 500 Sw Ramsey Avenue, Grants Pass, OR 97527
Phone: 541-472-7000    
Mrs. Esther M Carson, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1309 Ne 6th St, Grants Pass, OR 97526
Phone: 541-479-3367    Fax: 541-479-0215
Mrs. Kimberly L Waller, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526
Phone: 541-471-3455    
Brian James Allen, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 702 Sw Ramsey Ave Ste 112, Grants Pass, OR 97527
Phone: 541-472-0603    Fax: 541-472-0609
Mr. Benjamin Moss, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527
Phone: 541-476-6644    

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