Dr Nicolaas Willem De Wette, MD | |
265 N Broadway St, Portland, OR 97227-1800 | |
(503) 280-1223 | |
(503) 528-5252 |
Full Name | Dr Nicolaas Willem De Wette |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 36 Years |
Location | 265 N Broadway St, 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 |
---|---|---|---|
1689677692 | NPI | - | NPPES |
1016363 | Medicaid | WA | |
287436 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD23344 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sky Lakes Medical Center | Klamath falls, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Cancer Specialists Pc | 8426943838 | 53 |
Sky Lakes Medical Center Inc | 1052204096 | 145 |
Entity Name | Northwest Cancer Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407828114 PECOS PAC ID: 8426943838 Enrollment ID: O20040217000848 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicolaas Willem De Wette, MD 265 N Broadway St, Portland, OR 97227-1800 Ph: (503) 280-1223 | Dr Nicolaas Willem De Wette, MD 265 N Broadway St, Portland, OR 97227-1800 Ph: (503) 280-1223 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Erik W Foss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-2570 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |