Dr Patricia L Wheeler, MD | |
186 W Ellendale Ave, Dallas, OR 97338-1408 | |
(971) 900-4984 | |
(877) 673-8233 |
Full Name | Dr Patricia L Wheeler |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 186 W Ellendale Ave, Dallas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295771152 | NPI | - | NPPES |
057179 | Medicaid | OR | |
MD18322 | Other | OR | OR LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD18322 (Oregon) | Primary |
Entity Name | Dhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508802489 PECOS PAC ID: 0547170383 Enrollment ID: O20040130000453 |
Entity Name | Portland Adventist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131 |
Entity Name | Icco Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
Mailing Address | Practice Location Address |
---|---|
Dr Patricia L Wheeler, MD Po Box 5460, Englewood, CO 80155-5410 Ph: (720) 615-1730 | Dr Patricia L Wheeler, MD 186 W Ellendale Ave, Dallas, OR 97338-1408 Ph: (971) 900-4984 |
Charles Phillip Essex, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 531 Se Clay St, Dallas, OR 97338 Phone: 971-612-6100 Fax: 971-612-6101 | |
Dr. William Daniel Peffley, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 607 Se Jefferson St, Dallas, OR 97338 Phone: 503-623-1200 Fax: 503-623-1414 | |
Dr. William Matthew Lucas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 Se Jefferson St, Dallas, OR 97338 Phone: 503-623-1200 Fax: 503-623-1414 | |
Mr. Gayle Ray Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 289 E Ellendale, Suite 503, Dallas, OR 97338 Phone: 503-623-8826 Fax: 503-623-8739 | |
Stephen John Chaffee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 641 Se Miller Ave, Dallas, OR 97338 Phone: 503-623-2345 Fax: 503-623-6071 | |
Dr. Tom L Flaming, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 Fax: 503-623-5293 |