Dr Martin Tice, MD | |
1111 Crater Lake Ave, Medford, OR 97504-6241 | |
(503) 215-4323 | |
(503) 215-0297 |
Full Name | Dr Martin Tice |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1111 Crater Lake Ave, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407078629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | MD11348 (Oregon) | Primary |
Entity Name | Asante |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238 |
Mailing Address | Practice Location Address |
---|---|
Dr Martin Tice, MD Po Box 3308, Portland, OR 97208-3308 Ph: (503) 125-4323 | Dr Martin Tice, MD 1111 Crater Lake Ave, Medford, OR 97504-6241 Ph: (503) 215-4323 |
James Benton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 781 Black Oak Dr, Suite 102, Medford, OR 97504 Phone: 541-789-4236 Fax: 541-789-5965 | |
Ashley R Laird, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 Fax: 310-782-1763 | |
Dr. Peter Canning, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 East Barnett Road, Rm 1c026, Medford, OR 97504 Phone: 541-789-7000 | |
Mrs. Alicia L Welder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 | |
Jason Cassidy Herfindahl, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-880-8460 | |
Dr. David Ryland Thornberry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 541-732-6440 | |
Dr. Douglas S Shields, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 503-215-4323 Fax: 503-215-0297 |