Dr Paul G Bouressa, MD | |
3377 Riverbend Dr, Springfield, OR 97477-8800 | |
(541) 222-6400 | |
Not Available |
Full Name | Dr Paul G Bouressa |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3377 Riverbend Dr, Springfield, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366414047 | NPI | - | NPPES |
P370012349 | Other | OR | RAILROAD MEDICARE |
082417 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD20093 (Oregon) | Primary |
Entity Name | Peacehealth Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul G Bouressa, MD Po Box 24410, Eugene, OR 97402-0451 Ph: () - | Dr Paul G Bouressa, MD 3377 Riverbend Dr, Springfield, OR 97477-8800 Ph: (541) 222-6400 |
Dr. Brendan Patrick Kelly, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8500 Fax: 541-222-6435 | |
Dr. Daniel Kent Morrow, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3355 Riverbend Dr Ste 220, Springfield, OR 97477 Phone: 503-418-5700 | |
Virginia Barak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-6160 Fax: 541-222-6166 | |
Todd A Huffman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1442 S A St, Springfield, OR 97477 Phone: 541-726-4100 Fax: 541-725-4900 | |
Dr. Igor Michael Gladstone Ii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3355 Riverbend Dr Ste 220, Springfield, OR 97477 Phone: 541-686-8790 | |
Dr. Daniel Erichsen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-2402 Fax: 541-222-2350 | |
Dr. Francesca My Hernandez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4400 |