Dr Richard Culwell Wiseman, MD | |
1151 May St, Hood River, OR 97031-1526 | |
(541) 387-8992 | |
Not Available |
Full Name | Dr Richard Culwell Wiseman |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 1151 May St, Hood River, 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 |
---|---|---|---|
1871766600 | NPI | - | NPPES |
500672454 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ML60093926 (Washington) | Secondary |
208600000X | Surgery | MD168558 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 7315856010 | 65 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Culwell Wiseman, MD Po Box 3390, Portland, OR 97208-3390 Ph: () - | Dr Richard Culwell Wiseman, MD 1151 May St, Hood River, OR 97031-1526 Ph: (541) 387-8992 |
Michael George Hauty, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1151 May St, Hood River, OR 97031 Phone: 541-387-6125 Fax: 541-387-6269 | |
Dr. David L Maccabee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 514 State St Ste A, Hood River, OR 97031 Phone: 541-436-3880 Fax: 541-436-3881 | |
John Garcia, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1151 May St, Hood River, OR 97031 Phone: 541-387-6125 Fax: 541-387-6269 | |
Janice Journeau, Surgery Medicare: Not Enrolled in Medicare Practice Location: 810 13th St, Hood River, OR 97031 Phone: 541-387-3112 Fax: 541-386-9322 | |
Stephan W Coffman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 Montello Ave, Hood River, OR 97031 Phone: 541-387-8992 Fax: 541-387-6269 | |
Ronald E Perez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Oak St, Hood River, OR 97031 Phone: 505-690-0114 | |
Christine Julie Olson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1151 May St, Hood River, OR 97031 Phone: 541-387-6125 |