| Jose A Marroquin, PA | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2045 | |
| (541) 267-5151 | |
| (541) 266-4541 |
| Full Name | Jose A Marroquin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598712986 | NPI | - | NPPES |
| 1407812365 | Other | OR | NBMC MAIN GROUP NPI NUMBER |
| 161133 | Other | OR | NBMC MAIN GROUP DMAP NUMBER |
| 050922005 | Other | OR | BLUE CROSS |
| 970002408 | Other | OR | RAIL ROAD MEDICARE |
| C105010 | Other | OR | PACIFIC SOURCE |
| MD16946 | Other | OR | SUPERVISING PHYSICIAN OR LICENSE- DR. RICHARD JANY |
| 93-0635514 | Other | NBMC MAIN GROUP TAX ID FOR BILLING | |
| R0000WFBTV | Other | OR | NBMC MAIN - GROUP MEDICARE NUMBER |
| 97420A003 | Other | OR | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00273 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A Marroquin, PA 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 | Jose A Marroquin, PA 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 |
Akhila Parepalli, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 | |
Mr. Gregory Sopka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Casey Afton Quayle, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Benjamin Val Chu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 | |
Clifford S Lance, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Magdalene Clare Shaughnessy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Matthew E Cornia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3635 Fax: 541-269-0708 |