| Kimberly Louise Hanks, PA | |
|
500 5th St, Brookings, OR 97415-9702 | |
| (541) 412-3000 | |
| (541) 412-2081 |
| Full Name | Kimberly Louise Hanks |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 500 5th St, Brookings, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538248018 | NPI | - | NPPES |
| 500605015 | Medicaid | OR | |
| 1083656367 | Other | OR | CURRY MEDICAL CENTER'S NPI |
| 1487696985 | Other | OR | CURRY GENERAL HOSPITAL'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15015 (California) | Secondary |
| 363A00000X | Physician Assistant | PA165753 (Oregon) | Primary |
| Entity Name | Curry Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487696985 PECOS PAC ID: 2365352747 Enrollment ID: O20040109000983 |
| Entity Name | Albany General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
| Entity Name | Curry Health District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1487696985 PECOS PAC ID: 2365352747 Enrollment ID: O20061104000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Louise Hanks, PA 500 5th St, Brookings, OR 97415-9702 Ph: (707) 382-2921 | Kimberly Louise Hanks, PA 500 5th St, Brookings, OR 97415-9702 Ph: (541) 412-3000 |
Howard Nelson Croy, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 5th St, Brookings, OR 97415 Phone: 541-412-2000 Fax: 541-412-2081 |
Arman Carrasco, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 5th St, Brookings, OR 97415 Phone: 541-412-2000 |
Juliette Michelle Dephilippis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 97825 Shopping Center Ave, Brookings, OR 97415 Phone: 541-412-9800 Fax: 541-412-9600 |
Bram Spitael, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 5th Street, Brookings, OR 97415 Phone: 541-412-2000 Fax: 541-412-2081 |
Kalani Baker, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 5th St, Brookings, OR 97415 Phone: 541-412-2000 Fax: 541-469-2081 |
Julie Green, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 5th St, Brookings, OR 97415 Phone: 541-412-2000 Fax: 541-412-2080 |