| Miss Amanda Vansant, PA-C | |
|
702 Sunset Dr, Ontario, OR 97914 | |
| (541) 889-9167 | |
| (541) 889-7873 |
| Full Name | Miss Amanda Vansant |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 702 Sunset Dr, Ontario, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295071496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1233 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA160191 (Oregon) | Primary |
| Entity Name | Spine Institute of Idaho PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659380269 PECOS PAC ID: 6608837265 Enrollment ID: O20041026000997 |
| Entity Name | Centerpointe, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477685550 PECOS PAC ID: 4587833215 Enrollment ID: O20110812000619 |
| Entity Name | Lifeways Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568558955 PECOS PAC ID: 4183696214 Enrollment ID: O20140410000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Amanda Vansant, PA-C 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 | Miss Amanda Vansant, PA-C 702 Sunset Dr, Ontario, OR 97914 Ph: (541) 889-9167 |
Brittany Imon Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 |
Mr. Kacey L Andreasen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1050 Sw 3rd Ave Ste 1200, Ontario, OR 97914 Phone: 541-889-3111 Fax: 541-889-3999 |
Sarah Martinez Cisneros, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2327 Sw 4th Ave, Ontario, OR 97914 Phone: 208-642-7364 |
Caden White, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 896 Fortner St, Ontario, OR 97914 Phone: 541-881-2828 Fax: 541-881-2880 |
Sarah Nicole Wood, PA-C, MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 896 Fortner St, Ontario, OR 97914 Phone: 541-881-2828 |
Kent Michael Sandquist, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Sw 13th St, Ontario, OR 97914 Phone: 541-889-8410 Fax: 541-889-8093 |
Katherine Elizabeth Gill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 840 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-2800 |