Byron V Etta, MD | |
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
(503) 494-5678 | |
(949) 732-4572 |
Full Name | Byron V Etta |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 3181 Sw Sam Jackson Park Rd, Portland, 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 |
---|---|---|---|
1174971402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A166911 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern California Hospital At Hollywood | Hollywood, CA | Hospital |
Adventist Health Delano | Delano, CA | Hospital |
Phs Indian Hospital At Rosebud | Rosebud, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Culver Emergency Medical Group | 0244378677 | 21 |
Sound Physicians Emergency Medicine Of Southern California Pc | 9436406964 | 43 |
Rosebud Indian Health Service | 6901704055 | 49 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Entity Name | Culver Emergency Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699907923 PECOS PAC ID: 0244378677 Enrollment ID: O20091105000182 |
Entity Name | Sound Physicians Emergency Medicine Of Southern California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194180968 PECOS PAC ID: 9436406964 Enrollment ID: O20180716001079 |
Mailing Address | Practice Location Address |
---|---|
Byron V Etta, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: () - | Byron V Etta, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-5678 |
Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021 | |
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004 | |
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360 | |
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997 | |
Robert Barriatua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004 | |
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260 | |
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270 |