Dr Douglas A Wilson, MD | |
930 Sw Abbey St Ste B, Newport, OR 97365-4820 | |
(541) 574-7235 | |
Not Available |
Full Name | Dr Douglas A Wilson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 37 Years |
Location | 930 Sw Abbey St Ste B, Newport, Oregon |
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 |
---|---|---|---|
1679502918 | NPI | - | NPPES |
77943 | Other | ID | BLUE CROSS |
808373700 | Medicaid | ID | |
0249855 | Other | WA | WASHINGTON LABOR & INDUSTRIES |
1679502918 | Medicaid | MT | |
000010173389 | Other | ID | REGENCE BLUE SHIELD |
0201174022 | Other | MI | BLUE CROSS |
1679502918 | Medicaid | WA | |
20039075 | Other | MI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301056816 (Michigan) | Secondary |
208600000X | Surgery | M10679 (Idaho) | Secondary |
208600000X | Surgery | MD157658 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Samaritan Pacific Community Hospital | Newport, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Samaritan Pacific Health Services Inc | 2466353529 | 73 |
Entity Name | Samaritan North Lincoln Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20040120000329 |
Entity Name | Samaritan Pacific Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
Entity Name | Samaritan North Lincoln Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20061104000117 |
Entity Name | Samaritan Pacific Health Services Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas A Wilson, MD Po Box 2847, Corvallis, OR 97339-2847 Ph: () - | Dr Douglas A Wilson, MD 930 Sw Abbey St Ste B, Newport, OR 97365-4820 Ph: (541) 574-7235 |
Dr. David Arnold Larsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St Ste B, Newport, OR 97365 Phone: 541-574-7235 | |
Dr. Melissa Ann Dewolfe, DO Surgery Medicare: Medicare Enrolled Practice Location: 930 Sw Abbey St Ste B, Newport, OR 97365 Phone: 541-574-7235 Fax: 541-812-2085 | |
Dr. Gregg L. Personett, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 929 Sw Bay St, Newport, OR 97365 Phone: 541-265-9291 Fax: 541-265-7735 |