| Amanda Cathleen Clemmons, PA-C | |
|
602 N 39th Ave Ste 200, Yakima, WA 98902-6398 | |
| (877) 522-1275 | |
| (833) 888-7145 |
| Full Name | Amanda Cathleen Clemmons |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 602 N 39th Ave Ste 200, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437564408 | NPI | - | NPPES |
| 2449621 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 301776 (Louisiana) | Primary |
| Entity Name | Ideal Option PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20131210001184 |
| Entity Name | Ideal Telemedicine Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190716002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Cathleen Clemmons, PA-C 2601 Tulane Ave, Suite 500, New Orleans, LA 70119-4100 Ph: (504) 821-2601 | Amanda Cathleen Clemmons, PA-C 602 N 39th Ave Ste 200, Yakima, WA 98902-6398 Ph: (877) 522-1275 |
Jennifer Williams, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 602 E Nob Hill Blvd, Yakima, WA 98901 Phone: 509-248-3334 Fax: 509-453-6144 |
James Archie O'neal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 717 Fruitvale Blvd, Yakima, WA 98902 Phone: 509-966-0199 Fax: 509-966-4266 |
Mr. Michael Severin Shultis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th Ave Ste 320, Yakima, WA 98902 Phone: 509-454-8888 Fax: 509-453-0061 |
Lillian M Bascom, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2205 W Lincoln Ave, Yakima, WA 98902 Phone: 509-575-1234 |
Esther Y Mccorkindale, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Racquet Ln, Ste 100, Yakima, WA 98902 Phone: 509-249-3900 Fax: 509-573-9539 |
Anthony R Stephas, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 206 S 11th Ave, Suite 48, Yakima, WA 98902 Phone: 509-575-5058 Fax: 509-575-5196 |
Mrs. Raylee Susan Weaver-jensen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 N 39th Ave, Yakima, WA 98902 Phone: 509-249-1288 Fax: 509-249-6249 |