| Shelly Wimmer, PA-C | |
|
335 Fairview St, Silverton, OR 97381-1916 | |
| (503) 874-5625 | |
| (503) 874-5652 |
| Full Name | Shelly Wimmer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 335 Fairview St, Silverton, 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 |
|---|---|---|---|
| 1083092514 | NPI | - | NPPES |
| 1083092514 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA179965 (Oregon) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA 1779965 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Health West Valley | Dallas, OR | Hospital |
| Salem Hospital | Salem, OR | Hospital |
| Entity Name | Salem Health West Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Wimmer, PA-C Po Box 3417, Portland, OR 97208-3417 Ph: (503) 413-3900 | Shelly Wimmer, PA-C 335 Fairview St, Silverton, OR 97381-1916 Ph: (503) 874-5625 |
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 |
Mr. Lewis S Bradshaw, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1360 Jodi Dr, Silverton, OR 97381 Phone: 949-351-1816 |