| Ndeye Thiaw, | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2099 | |
| (541) 267-5151 | |
| (541) 266-4567 |
| Full Name | Ndeye Thiaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053065839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA213413 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Bend Medical Center Inc | 5597677716 | 92 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Ndeye Thiaw, 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 | Ndeye Thiaw, 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 |
Akhila Parepalli, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 |
Mr. Gregory Sopka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 |
Megan Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 375 Park Ave Ste 5, Coos Bay, OR 97420 Phone: 541-267-7543 Fax: 503-362-8435 |
Casey Afton Quayle, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 |
Benjamin Val Chu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 |
Brittany Ralston, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 |
Anita Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Miluk Dr, Coos Bay, OR 97420 Phone: 541-888-9494 |