| Amanda L Lewis, PA-C | |
|
288 S Pacific Hwy, Talent, OR 97540-6649 | |
| (304) 520-6644 | |
| (541) 414-0415 |
| Full Name | Amanda L Lewis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 288 S Pacific Hwy, Talent, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801997226 | NPI | - | NPPES |
| 851148 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Home Health Care | Grants pass, OR | Home health agency |
| Providence Medford Medical Center | Medford, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 5294623245 | 166 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
| Entity Name | Pain Relief Institute LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629331293 PECOS PAC ID: 3779730908 Enrollment ID: O20120823000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda L Lewis, PA-C 288 S Pacific Hwy, Talent, OR 97540-6649 Ph: (541) 500-4199 | Amanda L Lewis, PA-C 288 S Pacific Hwy, Talent, OR 97540-6649 Ph: (304) 520-6644 |
David Allen Cohen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 49 Talent Ave, Talent, OR 97540 Phone: 541-201-4900 |
Mr. Jordan Romney Bennett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 280 S Pacific Hwy, Talent, OR 97540 Phone: 304-520-6644 Fax: 541-414-0415 |