| Andrew David Bodmer, PA-C | |
|
18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7259 | |
| (503) 216-0700 | |
| Not Available |
| Full Name | Andrew David Bodmer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 18040 Sw Lower Boones Ferry Rd, Tigard, 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 |
|---|---|---|---|
| 1083860548 | NPI | - | NPPES |
| 500655799 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | T-4239 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | PA161375 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1328 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew David Bodmer, PA-C Po Box 3158, Portland, OR 97208-3158 Ph: () - | Andrew David Bodmer, PA-C 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7259 Ph: (503) 216-0700 |
Rayna Donnelly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 Phone: 503-620-5614 | |
Madeline Kauffman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 | |
Mrs. Dyea L Summers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-914-8162 | |
Mrs. Hanna Lou Allwein, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11958 Sw Garden Place, Tigard, OR 97223 Phone: 503-684-8252 Fax: 866-859-8195 | |
Geneva Ann Green, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 16083 Sw Upper Boones Ferry Rd Ste 130, Tigard, OR 97224 Phone: 503-603-9087 | |
Kenric Brion Craver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-216-0700 |