| Thomas Dale Brieske, | |
|
815 Sw Bond St, Bend, OR 97702-3593 | |
| (541) 382-4900 | |
| Not Available |
| Full Name | Thomas Dale Brieske |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 815 Sw Bond St, Bend, 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 |
|---|---|---|---|
| 1144948803 | NPI | - | NPPES |
| 500830812 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA218471 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center Riverbend | Springfield, OR | Hospital |
| Mercy Medical Center | Roseburg, OR | Hospital |
| Bay Area Hospital | Coos bay, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth Medical Group | 9032023270 | 256 |
| Entity Name | Peacehealth Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740223874 PECOS PAC ID: 8527016039 Enrollment ID: O20050111000353 |
| Entity Name | Bend Memorial Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Dale Brieske, Po Box 6048, Bend, OR 97708-6048 Ph: (541) 382-4900 | Thomas Dale Brieske, 815 Sw Bond St, Bend, OR 97702-3593 Ph: (541) 382-4900 |
David Berg Kirkpatrick, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1342 Ne Medical Center Dr Ste 101, Bend, OR 97701 Phone: 541-382-3344 Fax: 541-382-1681 |
Calli Elizabeth Rogowitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-4900 |
Christopher R Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2065 Ne Tucson Way Apt 110, Bend, OR 97701 Phone: 541-383-3005 Fax: 541-383-1883 |
Jean M Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-388-1636 Fax: 541-388-1719 |
Gregory R. Lang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 Fax: 541-706-2398 |
Hope Elizabeth Cline, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19393 Sw Laurelhurst Way, Bend, OR 97702 Phone: 717-823-0058 |
Dayna Dobson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-388-4333 Fax: 541-388-1719 |