| Jesse David Winslow Russell, PA-C | |
|
1185 S Elm St, Canby, OR 97013-3935 | |
| (503) 723-4660 | |
| (503) 266-6649 |
| Full Name | Jesse David Winslow Russell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1185 S Elm St, Canby, 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 |
|---|---|---|---|
| 1659040590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA203927 (Oregon) | Primary |
| 207Q00000X | Family Medicine | PA203927 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Praxis Health Pc | 8325941446 | 174 |
| Entity Name | Praxis Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821068164 PECOS PAC ID: 8325941446 Enrollment ID: O20040128000241 |
| Entity Name | Oregon Healthcare Resources LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse David Winslow Russell, PA-C Po Box 1517, Pendleton, OR 97801-0410 Ph: (877) 708-1119 | Jesse David Winslow Russell, PA-C 1185 S Elm St, Canby, OR 97013-3935 Ph: (503) 723-4660 |
Abby O'keefe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1433 Se 1st Ave, Canby, OR 97013 Phone: 503-525-7600 |
Ms. Sandra Leigh Kosik, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 S Hazel Dell Way, Canby, OR 97013 Phone: 503-263-9500 Fax: 503-263-1383 |
Lindsey Nicole Carpenter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 345 N Grant St, Canby, OR 97013 Phone: 503-266-2066 Fax: 503-263-8719 |
Tyler Duane Little, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1433 Se 1st Ave, Canby, OR 97013 Phone: 503-525-7600 |
Nicolle A Renfro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 S Hazel Dell Way Ste 205, Canby, OR 97013 Phone: 503-405-3700 |
Shane Orelski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 345 N Grant St, Canby, OR 97013 Phone: 503-266-2066 |
Phat Q Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 S Hazel Dell Way Ste 205, Canby, OR 97013 Phone: 503-405-3700 |