Alec Fedorov, MD | |
1435 G St, Springfield, OR 97477-4113 | |
(541) 242-4812 | |
(541) 242-4813 |
Full Name | Alec Fedorov |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1435 G St, Springfield, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467401554 | NPI | - | NPPES |
MD22265 | Other | OR | STATE LICENSE |
288355 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD22265 (Oregon) | Primary |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598 |
Entity Name | Oregon Healthcare Resources Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220 |
Mailing Address | Practice Location Address |
---|---|
Alec Fedorov, MD Po Box 1648, Eugene, OR 97440-1648 Ph: (541) 242-4812 | Alec Fedorov, MD 1435 G St, Springfield, OR 97477-4113 Ph: (541) 242-4812 |
Dr. Robb Nels Larsen, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1435 G St, Springfield, OR 97477 Phone: 541-242-4812 Fax: 541-242-4813 | |
Dr. Thomas J Hasbach, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-6245 |