Cherisa Sandrow, DO | |
60766 Golf Village Loop, Bend, OR 97702-9132 | |
(503) 407-9112 | |
Not Available |
Full Name | Cherisa Sandrow |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 60766 Golf Village Loop, Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568664944 | NPI | - | NPPES |
8516643 | Medicaid | WA | |
500610843 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP60001820 (Washington) | Secondary |
207Q00000X | Family Medicine | DO174412 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20050627000226 |
Mailing Address | Practice Location Address |
---|---|
Cherisa Sandrow, DO 60766 Golf Village Loop, Bend, OR 97702-9132 Ph: (503) 407-9112 | Cherisa Sandrow, DO 60766 Golf Village Loop, Bend, OR 97702-9132 Ph: (503) 407-9112 |
Wendy Yerington Dryden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701 Phone: 541-383-3005 Fax: 541-383-1883 | |
Lisa Kristine Mizeur, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-4800 Fax: 541-706-4806 | |
William B Wignall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1247 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-318-4249 | |
Edward M Tarbet, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 Fax: 541-317-4588 | |
Michael R. Hudson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-3700 Fax: 541-706-3730 | |
Amy V Asher, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-4800 Fax: 541-706-4806 | |
Dr. Michelle Ann Kyriakos, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1375 Nw Kingston Ave, Bend, OR 97701 Phone: 541-383-5958 Fax: 541-383-3016 |