Derek Guy Zickgraf, DO | |
3175 Pocahontas Rd, Baker City, OR 97814 | |
(541) 523-4415 | |
(541) 523-2399 |
Full Name | Derek Guy Zickgraf |
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Gender | Male |
Speciality | Family Medicine |
Location | 3175 Pocahontas Rd, Baker City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568774362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO181773 (Oregon) | Primary |
Entity Name | Grande Ronde Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
Entity Name | Saint Alphonsus Medical Center Baker City Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881726206 PECOS PAC ID: 4981732518 Enrollment ID: O20100618000209 |
Mailing Address | Practice Location Address |
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Derek Guy Zickgraf, DO 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (541) 523-4415 | Derek Guy Zickgraf, DO 3175 Pocahontas Rd, Baker City, OR 97814 Ph: (541) 523-4415 |
Dr. Lisa Christina Lanning, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-524-8000 Fax: 541-524-7955 | |
Dean Nathanial Defrees, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 17th St Ste A, Baker City, OR 97814 Phone: 541-523-1001 Fax: 541-523-1152 | |
Kaare E Tingelstad, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3325 Pocahontas, Baker City, OR 97814 Phone: 541-523-8111 Fax: 541-523-1738 | |
Dr. Robert Menzie Mckim, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3175 Pocahontas Rd, Baker City, OR 97814 Phone: 541-523-4415 Fax: 541-523-2399 | |
Mr. J Daniel Smithson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 17th St, Suite A, Baker City, OR 97814 Phone: 541-523-1001 Fax: 541-523-1152 | |
Neil J Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 17th St, Baker City, OR 97814 Phone: 541-523-1001 Fax: 541-523-1152 | |
Josh Sirucek, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 514-523-1797 Fax: 514-523-1799 |