| Jordan Clemente, PA-C | |
|
1200 Gateway Loop, Springfield, OR 97477-1176 | |
| (541) 933-0800 | |
| (541) 204-1997 |
| Full Name | Jordan Clemente |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1200 Gateway Loop, Springfield, 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 |
|---|---|---|---|
| 1770058224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA195841 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center Riverbend | Springfield, OR | Hospital |
| Bay Area Hospital | Coos bay, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Vascular Centers Eugene Llc | 6901298892 | 6 |
| 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 | Advanced Vascular Centers Eugene LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255091955 PECOS PAC ID: 6901298892 Enrollment ID: O20220127000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Clemente, PA-C 1200 Gateway Loop, Springfield, OR 97477-1176 Ph: (541) 933-0800 | Jordan Clemente, PA-C 1200 Gateway Loop, Springfield, OR 97477-1176 Ph: (541) 933-0800 |
Alejandro Elliott Colmenero I, MSPA, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 Hayden Bridge Way, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-747-0655 |
Angela Ellise Watson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Hartman Ln, Springfield, OR 97477 Phone: 541-334-3350 Fax: 541-284-5198 |
Amber Michelle Travis, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Pediatric Surgery, Springfield, OR 97477 Phone: 541-222-6135 |
Victoria Ann Shultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Hartman Ln Ste 200, Springfield, OR 97477 Phone: 541-334-3350 Fax: 541-343-3459 |
Leah Danielle Hollingsworth, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4510 |
Mr. Sean T Rabacal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr Fl 5, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401 |
Natalie A Muir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hayden Bridge Way, Springfield, OR 97477 Phone: 541-868-9430 Fax: 541-868-9450 |