| Mr Jonathan Michael Wilfrid, PA-C | |
|
890 Oak St Se, Salem, OR 97301-3905 | |
| (503) 561-5200 | |
| Not Available |
| Full Name | Mr Jonathan Michael Wilfrid |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 890 Oak 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 |
|---|---|---|---|
| 1760241038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA219249 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth Networks On Demand Llc | 1759731383 | 197 |
| Entity Name | Salem Emergency Physicians Service, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063454395 PECOS PAC ID: 8628061124 Enrollment ID: O20040408000014 |
| Entity Name | Peacehealth Networks on Demand LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023582178 PECOS PAC ID: 1759731383 Enrollment ID: O20240612001355 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Michael Wilfrid, PA-C 1136 Se Umatilla St, Portland, OR 97202-6947 Ph: Not Available | Mr Jonathan Michael Wilfrid, PA-C 890 Oak St Se, Salem, OR 97301-3905 Ph: (503) 561-5200 |
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 |