| Samuel William Packham, PA-C | |
|
960 Liberty St Se Ste 200, Salem, OR 97302-4195 | |
| (503) 399-0652 | |
| Not Available |
| Full Name | Samuel William Packham |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 960 Liberty St Se Ste 200, 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 |
|---|---|---|---|
| 1275315525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA222588 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oregon Rheumatology Clinics Llc | 2668804576 | 4 |
| Salem Rheumatology And Infusions, Llc | 5799117214 | 4 |
| Entity Name | Oregon Rheumatology Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376086694 PECOS PAC ID: 2668804576 Enrollment ID: O20191114002405 |
| Entity Name | Salem Rheumatology & Infusions, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063053015 PECOS PAC ID: 5799117214 Enrollment ID: O20191120003365 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel William Packham, PA-C 2957 Glen Eagles Rd, Lake Oswego, OR 97034-2737 Ph: (971) 386-8399 | Samuel William Packham, PA-C 960 Liberty St Se Ste 200, Salem, OR 97302-4195 Ph: (503) 399-0652 |
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 |