Dr Jerry Leroy Hubbard, MD | |
875 Oak St Se, Ste 5060, Salem, OR 97301-3987 | |
(503) 399-1386 | |
(503) 399-1182 |
Full Name | Dr Jerry Leroy Hubbard |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 875 Oak St Se, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952307498 | NPI | - | NPPES |
118968 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD11848 (Oregon) | Primary |
Entity Name | Western Neurosurgery Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306865332 PECOS PAC ID: 5698763969 Enrollment ID: O20040505000073 |
Mailing Address | Practice Location Address |
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Dr Jerry Leroy Hubbard, MD 875 Oak St Se, Ste 5060, Salem, OR 97301-3987 Ph: (503) 399-1386 | Dr Jerry Leroy Hubbard, MD 875 Oak St Se, Ste 5060, Salem, OR 97301-3987 Ph: (503) 399-1386 |
Dr. Magdalena Janina Banasiak, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Michael Nanaszko, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5060, Salem, OR 97301 Phone: 503-399-1386 | |
Julie Elizabeth York, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 875 Oak St Se, Ste 5085, Salem, OR 97301 Phone: 503-561-7240 Fax: 503-561-7245 | |
Charles Vernon Hatchette Ii, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Suite 5060, Salem, OR 97301 Phone: 503-399-1386 | |
Benjamin Richard Kafka, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5060, Salem, OR 97301 Phone: 503-399-1386 | |
Dr. John D. White, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3582 El Dorado Loop S, Salem, OR 97302 Phone: 503-378-0265 |