Dr Cory Aden-wansbury, MD is a
Clinic/center physician based in Medford, Oregon. Dr Cory Aden-wansbury is licensed to practice in Oregon (license number MD23944) and his current practice location is 6151 Dark Hollow Rd, Medford, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 512-8814.
NPI number for Dr Cory Aden-wansbury is 1033145578 and his current mailing address is 6151 Dark Hollow Rd, Medford, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033145578.
Physician's Profile
| Full Name | Dr Cory Aden-wansbury |
|---|
| Gender | Male |
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| Speciality | Clinic/center |
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| Location | 6151 Dark Hollow Rd, Medford, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033145578
- Provider Enumeration Date: 06/25/2006
- Last Update Date: 08/15/2008
Medical Identifiers
Medical identifiers for Dr Cory Aden-wansbury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033145578 | NPI | - | NPPES |
| 00G227300 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | G22730 (California) | Secondary |
| 261Q00000X | Clinic/center | MD23944 (Oregon) | Primary |
| 261QP2400X | Clinic/center - Prison Health | MD23944 (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cory Aden-wansbury is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Cory Aden-wansbury, MD
6151 Dark Hollow Rd,
Medford, OR 97501-4866
Ph: (541) 512-8814 | Dr Cory Aden-wansbury, MD
6151 Dark Hollow Rd,
Medford, OR 97501-4866
Ph: (541) 512-8814 |
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