Dr Randy J Kjorstad, MD | |
1245 Nw 4th St Ste 101, Redmond, OR 97756-1680 | |
(541) 548-7761 | |
(541) 598-3485 |
Full Name | Dr Randy J Kjorstad |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 21 Years |
Location | 1245 Nw 4th St Ste 101, Redmond, 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 |
---|---|---|---|
1043283336 | NPI | - | NPPES |
W26189 | Other | WY | SJMC PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M-9325 (Idaho) | Secondary |
208600000X | Surgery | 12855 (Montana) | Secondary |
208600000X | Surgery | 9756A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Medical Center - Bend | Bend, OR | Hospital |
St Johns Medical Center | Jackson, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teton County Hospital District | 4880582295 | 106 |
St Charles Health System Inc | 8729111513 | 210 |
Entity Name | Teton County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
Mailing Address | Practice Location Address |
---|---|
Dr Randy J Kjorstad, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-7690 | Dr Randy J Kjorstad, MD 1245 Nw 4th St Ste 101, Redmond, OR 97756-1680 Ph: (541) 548-7761 |
Dr. Celeste Irene Nelson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St, Redmond, OR 97756 Phone: 541-526-6835 Fax: 541-526-6636 | |
Marques S Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 101, Redmond, OR 97756 Phone: 541-548-7761 Fax: 541-598-3485 | |
Samuel Garbus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 101, Redmond, OR 97756 Phone: 541-548-7761 | |
Shaan Akhtar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 101, Redmond, OR 97756 Phone: 541-548-7761 Fax: 541-598-3485 |