Dr Danette Rai Elliott-mullens, DO | |
2650 Ne Courtney Dr, Bend, OR 97701-7636 | |
(541) 647-5200 | |
Not Available |
Full Name | Dr Danette Rai Elliott-mullens |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 2650 Ne Courtney Dr, Bend, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417977042 | NPI | - | NPPES |
143444105 | Medicaid | TX | |
15402701 | Other | TX | MEDICAID TPI BILLING NUMBER |
2023050669 | Other | MO | MO STATE BOARD OF REGISTRATION |
8AJ420 | Other | TX | BCBS INDIV PROV # |
500621599 | Medicaid | OR |
Facility Name | Location | Facility Type |
---|---|---|
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Groups Lc | 3072421254 | 427 |
Entity Name | Physician Groups Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Mailing Address | Practice Location Address |
---|---|
Dr Danette Rai Elliott-mullens, DO 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Dr Danette Rai Elliott-mullens, DO 2650 Ne Courtney Dr, Bend, OR 97701-7636 Ph: (541) 647-5200 |
Alanna Mozena, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813 | |
Ashley Marie Twyman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 Fax: 541-706-6813 | |
Dr. Gilbert B. Lee, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1558 Sw Nancy Way, Bend, OR 97702 Phone: 541-312-8679 | |
Ms. Christine Marie Pierson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2965 Ne Conners Ave, Ste 280, Bend, OR 97701 Phone: 541-323-4269 | |
Dr. Michael N Harris, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Gordon Jeremy Juriansz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6892 | |
Dr. Ronald Daniel Rosen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 918 Ne 5th St, Bend, OR 97701 Phone: 541-388-3804 Fax: 541-388-3856 |