Alexander Willoughby, | |
341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | |
(541) 440-6388 | |
(541) 672-0665 |
Full Name | Alexander Willoughby |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 8 Years |
Location | 341 Nw Medical Loop Ste 120, Roseburg, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093166191 | NPI | - | NPPES |
MD196566 | Other | OR | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD196566 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Roseburg, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centennial Medical Group Inc | 6103982962 | 44 |
Entity Name | Centennial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063 |
Mailing Address | Practice Location Address |
---|---|
Alexander Willoughby, 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 Ph: (541) 677-4319 | Alexander Willoughby, 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 Ph: (541) 440-6388 |
Andrea V Gray, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2995 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-957-5400 Fax: 541-440-1010 | |
Patrick J Gregg, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 341 Medical Loop, Suite 120, Roseburg, OR 97471 Phone: 541-672-4470 Fax: 541-672-0665 | |
Stewart M Wilson Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 341 Medical Loop, Ste 120, Roseburg, OR 97471 Phone: 541-672-8288 Fax: 541-672-0665 | |
Bradley H Seely, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 341 Medical Loop, Ste 120, Roseburg, OR 97471 Phone: 541-440-6388 Fax: 541-672-0665 | |
Dr. Jon-marc Weston, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2435 Nw Kline St, Roseburg, OR 97471 Phone: 541-672-2020 Fax: 541-673-8084 |