| Magdalene Clare Shaughnessy, PA-C | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2045 | |
| (541) 267-5151 | |
| Not Available |
| Full Name | Magdalene Clare Shaughnessy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477052470 | NPI | - | NPPES |
| 55241 | Other | CA | PHYSICIAN ASSISTANT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 55241 (California) | Secondary |
| 363A00000X | Physician Assistant | PA185332 (Oregon) | Primary |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Entity Name | Crm Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952674996 PECOS PAC ID: 3678720729 Enrollment ID: O20120824000811 |
| Entity Name | Daiya Healthcare PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200309000992 |
| Mailing Address | Practice Location Address |
|---|---|
| Magdalene Clare Shaughnessy, PA-C 515 Miller Ave, Norman, OK 73069-5929 Ph: (405) 473-3810 | Magdalene Clare Shaughnessy, PA-C 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 |
Ndeye Thiaw, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4567 |
Megan Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 375 Park Ave Ste 5, Coos Bay, OR 97420 Phone: 541-267-7543 Fax: 503-362-8435 |
Casey Afton Quayle, Physician Assistant Medicare: Accepting Medicare Assignments 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 |
Brittany Ralston, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 |