Anne Marie Wild, MD | |
2020 Capitol St Ne, Salem, OR 97301-0644 | |
(503) 399-2424 | |
(503) 375-7432 |
Full Name | Anne Marie Wild |
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Gender | Female |
Speciality | Family Medicine |
Location | 2020 Capitol St Ne, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457444291 | NPI | - | NPPES |
134407 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD14110 (Oregon) | Primary |
Entity Name | Salem Clinic, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150 |
Mailing Address | Practice Location Address |
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Anne Marie Wild, MD Po Box 8100, Salem, OR 97303-0900 Ph: (503) 399-2424 | Anne Marie Wild, MD 2020 Capitol St Ne, Salem, OR 97301-0644 Ph: (503) 399-2424 |
Dr. Volodymyr Y. Dovhyy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1165 Union St Ne, Salem, OR 97301 Phone: 503-399-2424 | |
Dr. Bethany Wohletz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1160 Wallace Rd Nw, Salem, OR 97304 Phone: 503-304-5716 Fax: 503-304-5719 | |
Samantha Easterly, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2020 Capitol St Ne, Salem, OR 97301 Phone: 503-399-2424 Fax: 503-375-7451 | |
Rosamund M Irwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 | |
Jack Buchanan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem Hospital Urgent Care Center, Salem, OR 97301 Phone: 503-561-5554 | |
Dr. Quincy Enyioma John, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-1879 | |
Shwetha R Gurram, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 966 12th St Se Ste 130, Salem, OR 97302 Phone: 503-814-4400 |