| Eugene Oleg Vakhovsky, PA-C | |
|
1401 N 10th Ave Ste 200, Stayton, OR 97383-1487 | |
| (503) 769-7151 | |
| Not Available |
| Full Name | Eugene Oleg Vakhovsky |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1401 N 10th Ave Ste 200, Stayton, 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 |
|---|---|---|---|
| 1518637016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Hospital | Salem, OR | Hospital |
| Salem Health West Valley | Dallas, OR | Hospital |
| Samaritan North Lincoln Hospital | Lincoln city, OR | Hospital |
| Santiam Hospital & Clinics | Stayton, OR | Hospital |
| Legacy Silverton Medical Center | Silverton, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salem Pain And Spine Specialists Pc | 3072780089 | 3 |
| Entity Name | Santiam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302214 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
| Entity Name | Salem Pain and Spine Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124316567 PECOS PAC ID: 3072780089 Enrollment ID: O20120113000808 |
| Entity Name | Emurgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265871123 PECOS PAC ID: 9830325075 Enrollment ID: O20131119000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Oleg Vakhovsky, PA-C 1401 N 10th Ave Ste 200, Stayton, OR 97383-1487 Ph: (503) 769-7151 | Eugene Oleg Vakhovsky, PA-C 1401 N 10th Ave Ste 200, Stayton, OR 97383-1487 Ph: (503) 769-7151 |
Ian Cavigli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave Ste 100, Stayton, OR 97383 Phone: 503-769-6386 Fax: 503-769-5647 |
Christian Lee Spencer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1369 N 10th Ave, Stayton, OR 97383 Phone: 503-769-8470 |
Douglas Duane Huntley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1377 N 10th Ave, Stayton, OR 97383 Phone: 503-769-8470 Fax: 503-769-9860 |
Kelsey Marie Porter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave Ste 100, Stayton, OR 97383 Phone: 503-769-6386 |
Taylor Anne Abdala, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1373 N 10th Ave, Stayton, OR 97383 Phone: 503-769-9522 Fax: 503-769-9530 |
Samantha Pacheco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave Ste 200, Stayton, OR 97383 Phone: 503-769-9118 |
Kimberly Edmonds, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave Ste 100, Stayton, OR 97383 Phone: 503-769-6386 Fax: 503-769-5647 |