| Mimi Harzan, MSPA, PA-C | |
|
2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279 | |
| (541) 706-6915 | |
| (541) 706-6733 |
| Full Name | Mimi Harzan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2200 Ne Neff Rd Ste 302, Bend, 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 |
|---|---|---|---|
| 1477175446 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Bend Campus | Bend, OR | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Health System Inc | 8729111513 | 379 |
| Southern Illinois Medical Services Nfp | 3678677390 | 331 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Mimi Harzan, MSPA, PA-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Mimi Harzan, MSPA, PA-C 2200 Ne Neff Rd Ste 302, Bend, OR 97701-4279 Ph: (541) 706-6915 |
David Berg Kirkpatrick, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1342 Ne Medical Center Dr Ste 101, Bend, OR 97701 Phone: 541-382-3344 Fax: 541-382-1681 |
Calli Elizabeth Rogowitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-4900 |
Christopher R Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2065 Ne Tucson Way Apt 110, Bend, OR 97701 Phone: 541-383-3005 Fax: 541-383-1883 |
Jean M Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-388-1636 Fax: 541-388-1719 |
Gregory R. Lang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 Fax: 541-706-2398 |
Hope Elizabeth Cline, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19393 Sw Laurelhurst Way, Bend, OR 97702 Phone: 717-823-0058 |
Dayna Dobson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-388-4333 Fax: 541-388-1719 |