| Thomas Koehler, PA-C | |
|
1715 E 12th St, The Dalles, OR 97058-3136 | |
| (208) 413-8406 | |
| Not Available |
| Full Name | Thomas Koehler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1715 E 12th St, The Dalles, 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 |
|---|---|---|---|
| 1720405145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA165739 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center Riverbend | Springfield, OR | Hospital |
| Mckenzie-willamette Medical Center | Springfield, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Vascular Specialists Llc | 0345695185 | 2 |
| Advanced Vascular Centers Eugene Llc | 6901298892 | 6 |
| 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 | Oregon Imaging Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241581 PECOS PAC ID: 7416859749 Enrollment ID: O20040126000581 |
| 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 | Icco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Entity Name | Advanced Vascular Centers Eugene LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255091955 PECOS PAC ID: 6901298892 Enrollment ID: O20220127000508 |
| Entity Name | Northwest Vascular Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548947211 PECOS PAC ID: 0345695185 Enrollment ID: O20231013000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Koehler, PA-C 91302 N Coburg Industrial Way Ste 122, Coburg, OR 97408-9331 Ph: (208) 413-8406 | Thomas Koehler, PA-C 1715 E 12th St, The Dalles, OR 97058-3136 Ph: (208) 413-8406 |
Mr. David S Macnally, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1620 E 12th St, The Dalles, OR 97058 Phone: 541-296-9151 Fax: 541-296-4710 |
Shaylyn B Murphy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1620 E 12th St, The Dalles, OR 97058 Phone: 541-296-9151 Fax: 541-296-9156 |
Natalie Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1715 E 12th St, The Dalles, OR 97058 Phone: 541-296-2294 |
Carrie A Vieira, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1810 E 19th St, The Dalles, OR 97058 Phone: 541-296-7677 Fax: 541-296-7206 |
Bryce R Youngquist, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 551 Lone Pine Blvd, The Dalles, OR 97058 Phone: 541-506-6920 |
Kristen Elise Nicolescu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 551 Lone Pine Blvd Ste 302, The Dalles, OR 97058 Phone: 541-506-6500 Fax: 541-506-6501 |
Ms. Hailey Coleen Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1620 E 12th St, The Dalles, OR 97058 Phone: 541-296-9151 |