| Mr Sean Simons, PA-C | |
|
10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | |
| (503) 513-8950 | |
| (503) 513-8951 |
| Full Name | Mr Sean Simons |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 10330 Se 32nd Ave Ste 205, Milwaukie, 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 |
|---|---|---|---|
| 1083003529 | NPI | - | NPPES |
| 500682764 | Medicaid | OR | |
| P01502233 | Other | OR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA170896 (Oregon) | Primary |
| 363A00000X | Physician Assistant | (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1423 |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| 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 Sean Simons, PA-C Po Box 3158, Portland, OR 97208-3158 Ph: Not Available | Mr Sean Simons, PA-C 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 Ph: (503) 513-8950 |
Ms. Leslie Karen Fitzgerald, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-206-5179 |
Pamela Dian Long, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-206-5179 Fax: 503-905-0495 |
Lisa M Kensil, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-206-5179 Fax: 503-905-0495 |
Ms. Melissa R. Thompson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10024 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-654-5666 |
Hannah P Frazee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14617 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-962-1782 |
Megan Katherine Bartley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 |
Andrea Michelle Reichle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-206-5200 |