| Tyson Lee Langeliers, PA -C, ATC, LAT | |
|
51600 Huntington Rd, La Pine, OR 97739 | |
| (541) 536-3435 | |
| Not Available |
| Full Name | Tyson Lee Langeliers |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 51600 Huntington Rd, La Pine, 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 |
|---|---|---|---|
| 1861429482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AT-223 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Bend Campus | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Pine Community Health Center | 8224187018 | 13 |
| Entity Name | La Pine Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639316193 PECOS PAC ID: 8224187018 Enrollment ID: O20090611000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Lee Langeliers, PA -C, ATC, LAT Po Box 3300, La Pine, OR 97739-3300 Ph: (541) 536-3435 | Tyson Lee Langeliers, PA -C, ATC, LAT 51600 Huntington Rd, La Pine, OR 97739 Ph: (541) 536-3435 |
Mr. Scott Roger Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 51600 Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 |
Zoe Pearlman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd Ste 101, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047 |
Sarah Danielle Sperry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047 |
Mrs. Rebecca M Brewer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047 |