Dr Jonathon Lex Park, MD | |
110 10th St Se, Bandon, OR 97411-9157 | |
(541) 347-2313 | |
(541) 347-2015 |
Full Name | Dr Jonathon Lex Park |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 110 10th St Se, Bandon, 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 |
---|---|---|---|
1588649289 | NPI | - | NPPES |
R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
1407812365 | Other | OR | NBMC GROUP NPI NUMBER |
93063551 | Other | OR | GROUP TAX ID NUMBER |
CD8723 | Other | OR | RR MEDICARE GROUP NUMBER |
080182358 | Other | OR | RR MEDICARE PTAN NUMBER |
286887 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD23699 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pacific Home Health And Hospice | Coos bay, OR | Home health agency |
South Coast Hospice & Palliative Care Services, In | Coos bay, OR | Hospice |
Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
Bay Area Hospital | Coos bay, OR | Hospital |
Curry General Hospital | Gold beach, OR | Hospital |
Avamere Rehabilitation Of Coos Bay | Coos bay, OR | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Bend Medical Center Inc | 5597677716 | 79 |
Entity Name | North Bend Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
Entity Name | Bay Area Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathon Lex Park, MD 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 | Dr Jonathon Lex Park, MD 110 10th St Se, Bandon, OR 97411-9157 Ph: (541) 347-2313 |
Mrs. Janet M Bates, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 6th St Sw, Bandon, OR 97411 Phone: 541-297-1974 Fax: 512-342-9949 | |
Dr. Henry H. Holmes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se, Suite 110, Bandon, OR 97411 Phone: 541-347-2529 Fax: 541-347-9196 | |
Emily Anne Reinig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529 | |
Gail K Mcclave, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 475 Elmira Ave Se, Suite103, Bandon, OR 97411 Phone: 541-347-2111 Fax: 541-347-1212 |