| Matthew Thomas Smith, PA | |
|
70 Bower Drive, Medford, OR 97501 | |
| (541) 734-3430 | |
| (541) 734-3638 |
| Full Name | Matthew Thomas Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 70 Bower Drive, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174872071 | NPI | - | NPPES |
| PA159571 | Other | OR | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA159571 (Oregon) | Primary |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Thomas Smith, PA Po Box 3158, Portland, OR 97208-3158 Ph: (541) 734-3430 | Matthew Thomas Smith, PA 70 Bower Drive, Medford, OR 97501 Ph: (541) 734-3430 |
Eva Zhouying Batenhorst, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8900 Fax: 541-245-4808 |
Howie Friedman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 691 Murphy Rd Ste 220, Medford, OR 97504 Phone: 541-789-4078 Fax: 209-383-0318 |
Gregory Ryan Caldwell, P.A-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Golf View Dr, Medford, OR 97504 Phone: 541-494-1111 Fax: 541-494-1099 |
John D Berlingeri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Delta Waters Rd, Suite 107, Medford, OR 97504 Phone: 541-858-2515 Fax: 541-858-2514 |
Steven Newhall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Drive, Suite 400, Medford, OR 97504 Phone: 541-789-8873 Fax: 541-789-2173 |
Ms. Carla Bloem, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 221 W Stewart Ave, Suite 101, Medford, OR 97501 Phone: 541-776-2003 Fax: 541-776-9833 |
Ms. Darla Jo Stiles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3524 Heathrow Way, Medford, OR 97504 Phone: 541-646-3505 Fax: 541-646-3553 |