| Brandy Bump Zerby, PA | |
|
1515 Village Dr, Cottage Grove, OR 97424-9700 | |
| (541) 942-0511 | |
| Not Available |
| Full Name | Brandy Bump Zerby |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1515 Village Dr, Cottage Grove, 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 |
|---|---|---|---|
| 1538538327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60982810 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 174961 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Express Care Wa Pc | 6800128067 | 64 |
| Multicare Health System | 7719899897 | 2312 |
| Grays Harbor County Public Hospital District No 1 | 9032017256 | 62 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Grays Harbor County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146 |
| Entity Name | Grays Harbor County Public Hospital District No 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20140311001671 |
| Entity Name | Express Care Or PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205499126 PECOS PAC ID: 1254768732 Enrollment ID: O20200221001693 |
| Entity Name | Express Care Wa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821554452 PECOS PAC ID: 6800128067 Enrollment ID: O20200221002370 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy Bump Zerby, PA 1170 Trail Ave, Eugene, OR 97404-2900 Ph: (801) 231-0507 | Brandy Bump Zerby, PA 1515 Village Dr, Cottage Grove, OR 97424-9700 Ph: (541) 942-0511 |
Mr. William Vogel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-640-7625 |
Roopa Mukund, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-7429 |