Brenda J Brischetto, MD | |
10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | |
(503) 513-8950 | |
Not Available |
Full Name | Brenda J Brischetto |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 28 Years |
Location | 10330 Se 32nd Ave Ste 205, Milwaukie, 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 |
---|---|---|---|
1306891742 | NPI | - | NPPES |
288367 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD22406 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
Brenda J Brischetto, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Brenda J Brischetto, MD 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 Ph: (503) 513-8950 |
Johanna Beth Warren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 | |
Dr. Jerrold L Snow, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222 Phone: 503-908-5880 Fax: 888-475-8729 | |
Rachelle Kirsten Sherard, LPN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-1300 | |
Dr. Jennifer Dawn Herber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 | |
Joshua D Reagan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-772-4337 | |
William R Gillanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-513-8951 | |
Mrs. Elizabeth E. Callaghan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 |