Dr Brent C Wesenberg, MD | |
5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 | |
(541) 768-4970 | |
Not Available |
Full Name | Dr Brent C Wesenberg |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 5234 Sw Philomath Blvd, Corvallis, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073560876 | NPI | - | NPPES |
240516 | Medicaid | OR | |
00389270 | Other | OR | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD26812 (Oregon) | Primary |
174400000X | Specialist | MD26812 (Oregon) | Secondary |
Entity Name | Bend Memorial Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
Mailing Address | Practice Location Address |
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Dr Brent C Wesenberg, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Dr Brent C Wesenberg, MD 5234 Sw Philomath Blvd, Corvallis, OR 97333-1042 Ph: (541) 768-4970 |
Larry Dwayne Sebring, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 850 Sw 26th St, Corvallis, OR 97331 Phone: 541-737-9355 | |
Robert Schweiss, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
Dr. Benjamin Robert Oldson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1282 | |
Brian Lee Delmonaco, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
Ronald U Vallejo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Ethan B. Wilson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5021 |