| Riley Hackley, PA-C | |
|
425 N Santiam Hwy, Lebanon, OR 97355-4361 | |
| (541) 451-6960 | |
| Not Available |
| Full Name | Riley Hackley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 425 N Santiam Hwy, Lebanon, 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 |
|---|---|---|---|
| 1922825009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA222009 (Oregon) | Primary |
| 207Q00000X | Family Medicine | PA222009 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Lebanon Community Hospital | Lebanon, OR | Hospital |
| Good Samaritan Regional Medical Center | Corvallis, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-valley Healthcare Inc | 2769391523 | 143 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20040120000329 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Hackley, PA-C Po Box 1189, Corvallis, OR 97339-1189 Ph: Not Available | Riley Hackley, PA-C 425 N Santiam Hwy, Lebanon, OR 97355-4361 Ph: (541) 451-6960 |
Ms. Jinny A Farrar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200 Fax: 541-451-7229 |
Natalie Jane Maughan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Mullins Dr Ste 2, Lebanon, OR 97355 Phone: 541-451-7915 |
Reda Tawfik Bassaly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200 |
Mrs. Mary Kathleen Lane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200 Fax: 541-451-7207 |
Mr. Christopher D. Freeman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6960 |
Joshua Christopher Schirripa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 |
Martha E La Rosa Snyder Chavez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Mullins Dr Ste A1, Lebanon, OR 97355 Phone: 541-766-0200 Fax: 541-766-6618 |