| Mrs Tyesha Dawn Marie Dent, PA-C | |
|
2265 Exchange St, Astoria, OR 97103-3331 | |
| (503) 338-4050 | |
| Not Available |
| Full Name | Mrs Tyesha Dawn Marie Dent |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 2265 Exchange St, 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 |
|---|---|---|---|
| 1811036247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA227785 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbia Memorial Hospital | Astoria, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergent Care Plus Llc | 0547328460 | 18 |
| Columbia Lutheran Charities | 5294643359 | 110 |
| Entity Name | Emergent Care Plus LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396923181 PECOS PAC ID: 0547328460 Enrollment ID: O20081022000252 |
| Entity Name | Nextcare Missouri LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245694082 PECOS PAC ID: 7517259252 Enrollment ID: O20160715001960 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tyesha Dawn Marie Dent, PA-C 2111 Exchange St, Astoria, OR 97103-3329 Ph: (503) 325-4321 | Mrs Tyesha Dawn Marie Dent, PA-C 2265 Exchange St, Astoria, OR 97103-3331 Ph: (503) 338-4050 |
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 |