| Jamie Sue Pease, PA-C | |
|
2920 Commercial St Se, Salem, OR 97302-4552 | |
| (541) 641-6053 | |
| (541) 485-9987 |
| Full Name | Jamie Sue Pease |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2920 Commercial St Se, Salem, 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 |
|---|---|---|---|
| 1528640174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA206023 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 714 |
| Legacy Clinics Llc | 0244144004 | 714 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Icco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Entity Name | Northwest Pain Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427674324 PECOS PAC ID: 4789009283 Enrollment ID: O20200730003246 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Sue Pease, PA-C 2005 Cedar St, Forest Grove, OR 97116-1701 Ph: (503) 883-8297 | Jamie Sue Pease, PA-C 2920 Commercial St Se, Salem, OR 97302-4552 Ph: (541) 641-6053 |
Mr. Christopher Michael Simpson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301 Phone: 503-814-1278 Fax: 503-814-1071 |
Mr. Joel Horst, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-763-3639 Fax: 503-315-4678 |
Robin Michelle Jewett, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2755 Commercial St Se # 101-258, Salem, OR 97302 Phone: 503-896-0297 Fax: 877-719-1596 |
Mr. Kevin A Bell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 |
Mr. Curt Carlton Stilp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 |
Melissa Walsh, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 4030, Salem, OR 97301 Phone: 503-561-6444 |
Jessica Frances Baca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-814-0273 Fax: 503-814-0273 |