| Julia Kathaleen Shankle, PA-C | |
|
2120 Exchange St Ste 111, Astoria, OR 97103-3366 | |
| (407) 415-6986 | |
| Not Available |
| Full Name | Julia Kathaleen Shankle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2120 Exchange St Ste 111, Astoria, 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 |
|---|---|---|---|
| 1609581693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA214874 (Oregon) | Primary |
| 363AM0700X | Physician Assistant - Medical | (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icco Llc | 1355406729 | 133 |
| Entity Name | Icco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Kathaleen Shankle, PA-C 2120 Exchange St Ste 111, Astoria, OR 97103-3366 Ph: (407) 415-6986 | Julia Kathaleen Shankle, PA-C 2120 Exchange St Ste 111, Astoria, OR 97103-3366 Ph: (407) 415-6986 |
Mr. Dennis Crozier, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2120 Exchange St Ste 302, Astoria, OR 97103 Phone: 971-310-1000 Fax: 100-000-0000 |
Gregory M. Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-4050 |
Kathleen M Bilak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1905 Exchange Street, Astoria, OR 97103 Phone: 503-338-4085 Fax: 503-338-4086 |
Alexander Joseph Pisciotta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-4050 |
Mark Tabor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2120 Exchange St, Suite 111, Astoria, OR 97103 Phone: 503-325-0333 |
Ms. Sally Sue Baker, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2120 Exchange St, 111, Astoria, OR 97103 Phone: 503-325-0333 Fax: 503-325-6333 |
Stephen A Leonardo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2120 Exchange St Ste 302, Astoria, OR 97103 Phone: 503-338-2993 Fax: 503-338-2996 |