| Joy Elizabeth Light, PA | |
|
500 Ne A St Ste 100, Madras, OR 97741-1842 | |
| (541) 383-3005 | |
| (541) 383-1883 |
| Full Name | Joy Elizabeth Light |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 500 Ne A St Ste 100, Madras, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770961377 | NPI | - | NPPES |
| 500715727 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA179809 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Madras | Madras, OR | Hospital |
| St Charles Medical Center Prineville | Prineville, OR | Hospital |
| St Charles Bend Campus | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hawaii Permanente Medical Group Inc | 7618880667 | 705 |
| Mosaic Community Health | 5395653497 | 78 |
| Entity Name | Hawaii Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Joy Elizabeth Light, PA 600 Sw Columbia St, Suite 6210, Bend, OR 97702-1099 Ph: (541) 383-3005 | Joy Elizabeth Light, PA 500 Ne A St Ste 100, Madras, OR 97741-1842 Ph: (541) 383-3005 |
Ms. Angela Vetterick, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Ne A St Ste 100, Madras, OR 97741 Phone: 541-383-3005 Fax: 541-383-1883 |
Aubrey Mullins, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Ne A St Ste 100, Madras, OR 97741 Phone: 541-383-3005 Fax: 541-383-1883 |
Mr. Keith Eugene Long, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 541-475-3874 Fax: 541-475-3503 |
Nicolette Linea Stevanovski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Ne A St Ste 100, Madras, OR 97741 Phone: 541-383-3005 Fax: 541-383-1883 |
Cassandra Mary Gruber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 541-475-3874 |
Shelby Leigh Bennett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 83 Sw K St, Madras, OR 97741 Phone: 503-506-0474 |