| Samantha Madison Gustafson, PAC | |
|
714 W Pine St Bldg C, Newport, WA 99156-9046 | |
| (509) 447-3139 | |
| (509) 897-8597 |
| Full Name | Samantha Madison Gustafson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 714 W Pine St Bldg C, Newport, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376262246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA61488948 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Madison Gustafson, PAC 714 W Pine St, Newport, WA 99156-9046 Ph: (509) 447-3139 | Samantha Madison Gustafson, PAC 714 W Pine St Bldg C, Newport, WA 99156-9046 Ph: (509) 447-3139 |
Jonathan Mccord, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 714 W Pine St, Newport, WA 99156 Phone: 509-447-3139 | |
Edward R Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 714 W Pine St, Newport, WA 99156 Phone: 509-447-2441 Fax: 509-447-0456 | |
Christopher Buscher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 714 W Pine St, Newport, WA 99156 Phone: 509-447-2441 Fax: 509-447-0456 | |
Karla Rivera, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 714 W Pine St, Newport, WA 99156 Phone: 509-447-3139 | |
Benedict Beam, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 714 W Pine St Bldg C, Newport, WA 99156 Phone: 509-447-3139 Fax: 509-897-8597 | |
Christopher C Mcglothlen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 714 W Pine St, Newport, WA 99156 Phone: 509-447-2441 Fax: 509-447-0456 |