Dr Jack Vining, MD | |
2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | |
(503) 472-6131 | |
Not Available |
Full Name | Dr Jack Vining |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2700 Se Stratus Ave, Mcminnville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922041920 | NPI | - | NPPES |
8378382 | Medicaid | WA | |
JM9451 | Other | PACC | |
97128A002 | Other | CHAMPUS | |
D86802 | Other | PROVIDENCE | |
0190386 | Other | WA L & I | |
261156 | Medicaid | OR | |
D86802 | Other | GROUP HEALTH | |
XPY185640 | Medicaid | CA | |
P00333023 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD12819 (Oregon) | Primary |
207R00000X | Internal Medicine | MD12819 (Oregon) | Secondary |
Entity Name | Emergency Medical Associates Of Mcminnville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629022876 PECOS PAC ID: 3870585920 Enrollment ID: O20040331000355 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Vining, MD Po Box 2065, Seattle, WA 98111-2065 Ph: (888) 828-3195 | Dr Jack Vining, MD 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 Ph: (503) 472-6131 |
Dr. Mark Rose, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Helge R Berg, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Paul Daniel Dale, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 Ne 19th St, Mcminnville, OR 97128 Phone: 503-435-1077 | |
Dr. Ricardo Carlon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Francisco Arroyo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Thomas Cronin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-435-3551 | |
Dr. Janet Paquette, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 |