| Josiah Jackson Dick, PA | |
|
1460 G St, Springfield, OR 97477-4112 | |
| (541) 726-3166 | |
| Not Available |
| Full Name | Josiah Jackson Dick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1460 G St, 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 |
|---|---|---|---|
| 1699366740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA209411 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Albany General Hospital | Albany, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icco Llc | 1355406729 | 133 |
| 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 | Doctors Emergency Room Corp PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Josiah Jackson Dick, PA Po Box 3028, San Dimas, CA 91773-7028 Ph: (541) 726-3166 | Josiah Jackson Dick, PA 1460 G St, Springfield, OR 97477-4112 Ph: (541) 726-3166 |
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 |