| John Joseph Kochanski Iv, | |
|
2120 Exchange St Ste 111, Astoria, OR 97103-3366 | |
| (503) 325-0333 | |
| (503) 325-6333 |
| Full Name | John Joseph Kochanski Iv |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2120 Exchange St Ste 111, Astoria, 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 |
|---|---|---|---|
| 1578270575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA213842 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Seaside Hospital | Seaside, OR | Hospital |
| Columbia Memorial Hospital | Astoria, OR | Hospital |
| Ocean Beach Hospital | Ilwaco, WA | Hospital |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 1557260106 | 97 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Mailing Address | Practice Location Address |
|---|---|
| John Joseph Kochanski Iv, 2120 Exchange St Ste 111, Astoria, OR 97103-3366 Ph: (503) 325-0333 | John Joseph Kochanski Iv, 2120 Exchange St Ste 111, Astoria, OR 97103-3366 Ph: (503) 325-0333 |
Mr. Dennis Crozier, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2120 Exchange St Ste 302, Astoria, OR 97103 Phone: 971-310-1000 Fax: 100-000-0000 |
Gregory M. Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-4050 |
Kathleen M Bilak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1905 Exchange Street, Astoria, OR 97103 Phone: 503-338-4085 Fax: 503-338-4086 |
Alexander Joseph Pisciotta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-4050 |
Mark Tabor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2120 Exchange St, Suite 111, Astoria, OR 97103 Phone: 503-325-0333 |
Seth Allen Snell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2275 Commercial St, Astoria, OR 97103 Phone: 503-325-8315 Fax: 503-338-4198 |
Ms. Sally Sue Baker, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2120 Exchange St, 111, Astoria, OR 97103 Phone: 503-325-0333 Fax: 503-325-6333 |