Derek S Halvorson, MD | |
600 Ne 92nd Ave, Vancouver, WA 98664-3225 | |
(360) 514-2142 | |
(360) 514-6820 |
Full Name | Derek S Halvorson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | 600 Ne 92nd Ave, Vancouver, Washington |
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 |
---|---|---|---|
1740234996 | NPI | - | NPPES |
8398398 | Medicaid | WA | |
278165 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00043686 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 9335057447 | 137 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
Mailing Address | Practice Location Address |
---|---|
Derek S Halvorson, MD Po Box 5037, Unit 282, Portland, OR 97208-5037 Ph: (360) 514-2142 | Derek S Halvorson, MD 600 Ne 92nd Ave, Vancouver, WA 98664-3225 Ph: (360) 514-2142 |
Dr. Andrew Douglass Zechnich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228 | |
Jeff S Brent, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 | |
Dr. Erin Meadows, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 559-250-7564 | |
Megumi S Ketcham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 | |
Dr. Jamie Mcginnity, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 | |
George T Lin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1400 | |
Daniel M Bissell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1400 |