Individual provider Active NPI

Robert Drescher

  • Medical Physician Assistant
  • Medford, OR
National Provider Identifier
1942645494
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA167586 Issued in OR
Practice address
201 W 6TH St
Medford, OR 97501-2708
Phone
(541) 200-2900
Fax
(541) 200-2948
NPI assigned
May 9, 2013
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA167586 OR Primary

Addresses

Primary practice location

201 W 6TH St
Medford, OR 97501-2708

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140821000853 OR Practitioner - Physician Assistant 7618195314 Reassigns benefits to 1 organization
I20180924001222 TX Practitioner - Physician Assistant 7618195314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yellowhawk Tribal Health CenterGroup PAC ID 6608924121, 17 clinicians

Practice addresses (Care Compare)

46314 Timine Way
Pendleton, OR 97801-9417
Phone (541) 966-9830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA167586ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiacare Services Inc CurrentSince Jul 4, 2021 Accepting new patients
Pediatrics for You, PLLC PastSince Oct 19, 2020 Accepting new patients

Locations

201 W 6th St
Medford, OR 97501
Phone (541) 200-2900

3587 Heathrow Way
Medford, OR 97504

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1942645494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-858-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 6TH ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012708",
            "telephone_number": "541-200-2900",
            "fax_number": "541-200-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESCHER",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA167586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.