| Jeffrey P Pavelka, DO | |
|
16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015-6302 | |
| (503) 582-4900 | |
| Not Available |
| Full Name | Jeffrey P Pavelka |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 16180 Se Sunnyside Rd, Happy Valley, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447218318 | NPI | - | NPPES |
| 500601728 | Medicaid | OR | |
| 051510830 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO28819 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | DO-757 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Oregon City Family Practice Clinic,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043434053 PECOS PAC ID: 7719972546 Enrollment ID: O20040420000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey P Pavelka, DO Po Box 3158, Portland, OR 97208-3158 Ph: () - | Jeffrey P Pavelka, DO 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015-6302 Ph: (503) 582-4900 |
Mhairi Ann Mcfarlane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Elizabeth D. Orth, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Alan Craig Thom, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086 Phone: 503-239-7030 | |
Peter Josef St George, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Kevin J Grainger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Tetyana O Odarich, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9300 Se 91st Ave Ste 201, Happy Valley, OR 97086 Phone: 503-387-7111 Fax: 503-576-7706 |