Dr Michael S Fennell, MD | |
842 E Main St, Medford, OR 97504-7134 | |
(541) 773-2493 | |
(541) 779-3027 |
Full Name | Dr Michael S Fennell |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 842 E Main St, Medford, 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 |
---|---|---|---|
1336101690 | NPI | - | NPPES |
133931 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD21793 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Asante Rogue Regional Medical Center | Medford, OR | Hospital |
Providence Medford Medical Center | Medford, OR | Hospital |
Asante Ashland Community Hospital | Ashland, OR | Hospital |
Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medford Radiological Group Pc | 2062303324 | 79 |
Oregon Advanced Imaging Llc | 3577465376 | 16 |
Entity Name | Bend Memorial Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
Entity Name | Medford Radiological Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20100604000059 |
Entity Name | Oregon Advanced Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306133632 PECOS PAC ID: 3577465376 Enrollment ID: O20111011000777 |
Entity Name | Radia Oregon Radiology Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073385423 PECOS PAC ID: 2961852637 Enrollment ID: O20240103001641 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael S Fennell, MD 842 E Main St, Medford, OR 97504-7134 Ph: (541) 773-2493 | Dr Michael S Fennell, MD 842 E Main St, Medford, OR 97504-7134 Ph: (541) 773-2493 |
Weston Jay Caywood, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 | |
Dr. John Nathan Simmons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-773-3966 | |
Chad Michael Ringger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-773-3966 | |
Dr. Eric Mullen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 541-732-7000 | |
Dr. Kristina E Darlington, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-779-3027 | |
Dr. Roberta L Jackson, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-779-3027 |