| Gus Whittington, | |
|
900 Sunset Dr, La Grande, OR 97850-1387 | |
| (541) 963-1513 | |
| Not Available |
| Full Name | Gus Whittington |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 900 Sunset Dr, La Grande, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659092559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1218225 (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Gus Whittington, 900 Sunset Dr, La Grande, OR 97850-1387 Ph: (541) 963-1513 | Gus Whittington, 900 Sunset Dr, La Grande, OR 97850-1387 Ph: (541) 963-1513 |
Aaron Randy Cooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 |
Ms. Bonnie Marie Dittmann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2011 4th St, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-429-6612 |
Angela Marie Seeds, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 |
Kylie Andrews, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 |