MR. CLYDE TERRENCE BANCROFT PA
NPI 1841397742
Physician Assistant in Roseburg, OR
About Mr. Clyde Terrence Bancroft Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLYDE TERRENCE BANCROFT PA (NPI 1841397742) is an individual physician assistant in Roseburg, Oregon, licensed in Oregon (PA00866) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Clyde Terrence Bancroft Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Roseburg, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 18
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEBURG, OR 97471
ROSEBURG, OR 97471
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clyde Bancroft's NPI number?
The NPI number for Clyde Bancroft is 1841397742. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Clyde Bancroft located?
Clyde Bancroft practices at 2570 NW Edenbower Blvd Suite 100, Roseburg, OR 97471. The listed phone number is (541) 677-7200.
What is Clyde Bancroft's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Clyde Bancroft enrolled in Medicare?
Yes. Clyde Bancroft is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Clyde Bancroft accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Clyde Bancroft as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Clyde Bancroft affiliated with any hospitals?
According to CMS data, Clyde Bancroft is affiliated with Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Clyde Bancroft was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Clyde Terrence Bancroft, PA · NPI 1841397742
Physician Assistant physician in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1841397742 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA00866 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2570 NW EDENBOWER BLVD, SUITE 100, Roseburg, OR 97471
- **Phone:** (541) 677-7200 · **Fax:** (541) 229-3362
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** February 2, 2011
- **Other identifiers:** Medicare UPIN P91147 (OR); Medicare ID-Type Unspecified 115679 (OR); Medicaid 500601499 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1841397742) · Data from the CMS NPPES public registry.