Dr Elizabeth Anne Neeley, MD | |
2191 Marion St, North Bend, OR 97459-2314 | |
(541) 756-8002 | |
(541) 756-7503 |
Full Name | Dr Elizabeth Anne Neeley |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 2191 Marion St, North Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679509145 | NPI | - | NPPES |
H1395 03 | Other | OR | PACIFIC SOURCE |
P00265715 | Other | OR | RR MEDICARE |
065946 | Medicaid | OR | |
9305053253020 | Other | OR | EMPLOYER ID |
840449003 | Other | OR | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD16109 (Oregon) | Primary |
Entity Name | Bandon Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033348289 PECOS PAC ID: 1557416757 Enrollment ID: O20100430000431 |
Mailing Address | Practice Location Address |
---|---|
Dr Elizabeth Anne Neeley, MD 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 Ph: (541) 963-3138 | Dr Elizabeth Anne Neeley, MD 2191 Marion St, North Bend, OR 97459-2314 Ph: (541) 756-8002 |
Robert Walter Hunter, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2117 Union Ave, North Bend, OR 97459 Phone: 541-808-9000 Fax: 541-808-9001 | |
Hammad Qadir, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1860 Virginia Ave Ste 8, North Bend, OR 97459 Phone: 541-808-2412 Fax: 541-808-2411 |