Dr Kelly R Mccormick, MD | |
1600 State St, Salem, OR 97301-4257 | |
(503) 540-6300 | |
(503) 540-6404 |
Full Name | Dr Kelly R Mccormick |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 18 Years |
Location | 1600 State St, Salem, 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 |
---|---|---|---|
1629236229 | NPI | - | NPPES |
500647558 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MT189201 (Pennsylvania) | Secondary |
207X00000X | Orthopaedic Surgery | MD157529 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Salem Hospital | Salem, OR | Hospital |
West Valley Hospital | Dallas, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bhsm Rehabilitation Llc | 2062773138 | 1355 |
Salem Health | 8628986668 | 393 |
Entity Name | Salem Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly R Mccormick, MD 1600 State St, Salem, OR 97301-4257 Ph: (503) 540-6300 | Dr Kelly R Mccormick, MD 1600 State St, Salem, OR 97301-4257 Ph: (503) 540-6300 |
Allison Roe Mitchell, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Dr. William Joseph Gallagher, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3254 Tranquility Ct Se, Salem, OR 97301 Phone: 503-375-9505 Fax: 503-365-7371 | |
Andrew Joseph Hadeed, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 Fax: 503-540-6404 | |
Dr. Raylene Lorraine Gordin, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1296 Commercial St. Se, Suite 103, Salem, OR 97302 Phone: 503-580-0761 Fax: 503-213-5948 | |
Dan G Sewell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 State Street, Salem, OR 97301 Phone: 503-540-6300 | |
Sudeep Taksali, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6300 | |
Robert S Fan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 State Street, Salem, OR 97301 Phone: 503-540-6300 |