Dr Richard Austin Haddock Iv, MD | |
503 4th St, La Grande, OR 97850-1905 | |
(541) 963-2886 | |
Not Available |
Full Name | Dr Richard Austin Haddock Iv |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 54 Years |
Location | 503 4th St, La Grande, 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 |
---|---|---|---|
1689610834 | NPI | - | NPPES |
R-083501 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD08569 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grande Ronde Hospital | La grande, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grande Ronde Hospital Inc | 0547170789 | 69 |
Entity Name | Grande Ronde Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Austin Haddock Iv, MD 503 4th St, La Grande, OR 97850-1905 Ph: (541) 963-2886 | Dr Richard Austin Haddock Iv, MD 503 4th St, La Grande, OR 97850-1905 Ph: (541) 963-2886 |
Dr. Richard J Holecek, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Drive, Suite F, La Grande, OR 97850 Phone: 541-962-0759 | |
Brandy Renee Mclendon, DO Surgery Medicare: Medicare Enrolled Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 | |
Dr. Andrew Clinton Pearson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 |