| Mr Lewis S Bradshaw, | |
|
1360 Jodi Dr, Silverton, OR 97381-8734 | |
| (949) 351-1816 | |
| Not Available |
| Full Name | Mr Lewis S Bradshaw |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1360 Jodi Dr, Silverton, 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 |
|---|---|---|---|
| 1346852951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA215141 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Silverton Medical Center | Silverton, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silverton Health | 8921901877 | 147 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lewis S Bradshaw, 1360 Jodi Dr, Silverton, OR 97381-8734 Ph: Not Available | Mr Lewis S Bradshaw, 1360 Jodi Dr, Silverton, OR 97381-8734 Ph: (949) 351-1816 |
Shelly Wimmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Fairview St, Silverton, OR 97381 Phone: 503-874-5625 Fax: 503-874-5652 |
Mr. Anthony Nelson Smith, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Welch Street, Silverton, OR 97381 Phone: 503-873-8740 Fax: 503-873-2470 |
Mr. Chad Jacob Palmer, MS,AT. RET, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 452 Welch St, Silverton, OR 97381 Phone: 503-874-2454 |
Crystal H Kohistani, PA-C, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Fairview St, Silverton, OR 97381 Phone: 503-873-8686 Fax: 503-873-8689 |
Kelby Stout, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Fairivew St, Silverton, OR 97381 Phone: 503-873-8686 Fax: 503-873-8689 |
Lisa Christina Oreschak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 347 Fairview St, Silverton, OR 97381 Phone: 503-873-5667 |
Christa M Fiske, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Fairview St, Silverton, OR 97381 Phone: 503-873-8686 Fax: 503-873-8689 |