Reda Tawfik Bassaly, PA-C | |
675 N 5th St Ste 200, Lebanon, OR 97355-2875 | |
(541) 451-6282 | |
Not Available |
Full Name | Reda Tawfik Bassaly |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 675 N 5th St Ste 200, Lebanon, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043551930 | NPI | - | NPPES |
2035614 | Medicaid | WA | |
500657182 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA163414 (Oregon) | Secondary |
363AM0700X | Physician Assistant - Medical | PA163414 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Reda Tawfik Bassaly, PA-C Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Reda Tawfik Bassaly, PA-C 675 N 5th St Ste 200, Lebanon, OR 97355-2875 Ph: (541) 451-6282 |
Ms. Jinny A Farrar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200 Fax: 541-451-7229 | |
Natalie Jane Maughan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 35 Mullins Dr Ste 2, Lebanon, OR 97355 Phone: 541-451-7915 | |
Mrs. Mary Kathleen Lane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200 Fax: 541-451-7207 | |
Mr. Christopher D. Freeman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6960 | |
Joshua Christopher Schirripa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 | |
David Lawrence Federoff, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Mullins Dr Ste 2, Lebanon, OR 97355 Phone: 541-451-7915 Fax: 541-451-7973 |