| Mr Benjamin Hearty, PA-C | |
|
9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 | |
| (503) 215-2110 | |
| Not Available |
| Full Name | Mr Benjamin Hearty |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 9290 Se Sunnybrook Blvd Ste 120, Clackamas, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366890386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA185335 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1423 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin Hearty, PA-C Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Mr Benjamin Hearty, PA-C 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 Ph: (503) 215-2110 |
Michael Hollenback, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440 |
Dale Fossati, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-8240 |
Piotr Starosta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 |
Matthew Harvey Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 |
Anna Sterner Turbes, PA, MPH, MMSC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 |
Andrea Christine Pertoso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-517-4228 |
Stephen L Godsil, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 |