Charlotte P Gardner, PAC | |
5234 Sw Philomath Boulevard, Corvallis, OR 97333-1042 | |
(541) 768-4970 | |
Not Available |
Full Name | Charlotte P Gardner |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 36 Years |
Location | 5234 Sw Philomath Boulevard, Corvallis, 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 |
---|---|---|---|
1538241120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA201 (Alaska) | Secondary |
363A00000X | Physician Assistant | 159864 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Good Samaritan Regional Medical Center | Corvallis, OR | Hospital |
Samaritan Pacific Community Hospital | Newport, OR | Hospital |
Samaritan Lebanon Community Hospital | Lebanon, OR | Hospital |
Samaritan Albany General Hospital | Albany, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Good Samaritan Hospital Corvallis | 1557270725 | 333 |
Mid-valley Healthcare Inc | 2769391523 | 138 |
Albany General Hospital | 9931097987 | 165 |
Entity Name | Mid-valley Healthcare Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
Entity Name | Samaritan Pacific Health Services Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
Mailing Address | Practice Location Address |
---|---|
Charlotte P Gardner, PAC Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Charlotte P Gardner, PAC 5234 Sw Philomath Boulevard, Corvallis, OR 97333-1042 Ph: (541) 768-4970 |
Michael J Mccusker, P. A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6611 Fax: 541-766-6186 | |
Ms. Stacie Marie Fulcher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Nw Elks Drive, Corvallis, OR 97330 Phone: 541-754-1256 Fax: 360-597-1472 | |
Gregory Miller, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3640 Nw Samaritan Dr Ste 100, Corvallis, OR 97330 Phone: 541-768-5205 | |
Taylor Frank, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3640 Nw Samaritan Dr Ste 120, Corvallis, OR 97330 Phone: 541-768-5223 | |
John Narciso Navarro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Beth Anne Rathbun, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Nw Elks Dr, Corvallis, OR 97330 Phone: 541-754-1287 | |
Ms. Annemarie Boyd, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 |