Nicholas A Boncher, MD | |
5050 Ne Hoyt St Ste 210, Portland, OR 97213-2980 | |
(503) 215-7628 | |
Not Available |
Full Name | Nicholas A Boncher |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 18 Years |
Location | 5050 Ne Hoyt St Ste 210, Portland, 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 |
---|---|---|---|
1255546982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD2013-0220 (New Mexico) | Secondary |
208800000X | Urology | MD166816 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Sunnyside Medical Center | Clackamas, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Nicholas A Boncher, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Nicholas A Boncher, MD 5050 Ne Hoyt St Ste 210, Portland, OR 97213-2980 Ph: (503) 215-7628 |
Donald Andrew Young Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Suite 514, Portland, OR 97213 Phone: 503-488-2323 Fax: 503-488-2340 | |
Dr. James Christopher Austin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Pediatric Urology Cdw-6, Portland, OR 97239 Phone: 503-494-4808 Fax: 503-494-4743 | |
Lauren Lamina, Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Dr. Jin-hee Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Ste 342, Portland, OR 97216 Phone: 503-255-5244 Fax: 503-255-5120 | |
Berhane Mebratu, NP Urology Medicare: Medicare Enrolled Practice Location: 9495 Sw Locust St Ste G, Portland, OR 97223 Phone: 559-321-2800 Fax: 559-321-2780 | |
Michael Joseph Conlin, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3303 Sw Bond Ave, Ch10u, Portland, OR 97239 Phone: 503-494-4779 Fax: 503-494-8671 | |
Dr. James M Keane, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, Ste 422, Portland, OR 97225 Phone: 503-297-1078 Fax: 503-292-2176 |