| Anna Elizabeth Braddock, PA-C | |
|
2400 Hartman Ln, Springfield, OR 97477-1118 | |
| (541) 334-3350 | |
| Not Available |
| Full Name | Anna Elizabeth Braddock |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2400 Hartman Ln, Springfield, 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 |
|---|---|---|---|
| 1578205092 | NPI | - | NPPES |
| PA211508 | Other | OR | OREGON MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA211508 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Ssm Health St Anthony Hospital - Midwest | Midwest city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 430 |
| Entity Name | Saints Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Elizabeth Braddock, PA-C 2400 Hartman Ln, Springfield, OR 97477-1118 Ph: (541) 334-3350 | Anna Elizabeth Braddock, PA-C 2400 Hartman Ln, Springfield, OR 97477-1118 Ph: (541) 334-3350 |
Alejandro Elliott Colmenero I, MSPA, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 Hayden Bridge Way, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-747-0655 |
Angela Ellise Watson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Hartman Ln, Springfield, OR 97477 Phone: 541-334-3350 Fax: 541-284-5198 |
Amber Michelle Travis, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Pediatric Surgery, Springfield, OR 97477 Phone: 541-222-6135 |
Victoria Ann Shultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Hartman Ln Ste 200, Springfield, OR 97477 Phone: 541-334-3350 Fax: 541-343-3459 |
Leah Danielle Hollingsworth, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4510 |
Mr. Sean T Rabacal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr Fl 5, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401 |
Natalie A Muir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hayden Bridge Way, Springfield, OR 97477 Phone: 541-868-9430 Fax: 541-868-9450 |