| Mr Jeremy Gaylon Waldie, PA-C | |
|
374 Owens St Se, Salem, OR 97302-4183 | |
| (503) 399-1400 | |
| (503) 399-1406 |
| Full Name | Mr Jeremy Gaylon Waldie |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 374 Owens St Se, Salem, 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 |
|---|---|---|---|
| 1043546534 | NPI | - | NPPES |
| 50071199 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA165500 (Oregon) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA60120298 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Valley Hospital | Dallas, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icco Llc | 1355406729 | 99 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Gaylon Waldie, PA-C 374 Owens St Se, Salem, OR 97302-4183 Ph: (503) 399-1400 | Mr Jeremy Gaylon Waldie, PA-C 374 Owens St Se, Salem, OR 97302-4183 Ph: (503) 399-1400 |
Mr. Christopher Michael Simpson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301 Phone: 503-814-1278 Fax: 503-814-1071 | |
Mr. Joel Horst, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-763-3639 Fax: 503-315-4678 | |
Robin Michelle Jewett, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2755 Commercial St Se # 101-258, Salem, OR 97302 Phone: 503-896-0297 Fax: 877-719-1596 | |
Mr. Kevin A Bell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Mr. Curt Carlton Stilp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Melissa Walsh, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 4030, Salem, OR 97301 Phone: 503-561-6444 | |
Jessica Frances Baca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-814-0273 Fax: 503-814-0273 |