Dr Richard Kelly Staggenborg, MD is a
Psychiatry & Neurology - Psychiatry physician based in Bandon, Oregon. Dr Richard Kelly Staggenborg is licensed to practice in Oregon (license number 20053) and his current practice location is 1010 1st St Se, Bandon, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 347-4736.
NPI number for Dr Richard Kelly Staggenborg is 1588699292 and his current mailing address is 1010 1st St Se, Bandon, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588699292.
Physician's Profile
| Full Name | Dr Richard Kelly Staggenborg |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1010 1st St Se, Bandon, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588699292
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Richard Kelly Staggenborg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588699292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20053 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Kelly Staggenborg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard Kelly Staggenborg, MD
1010 1st St Se,
Bandon, OR 97411-9301
Ph: (541) 347-4736 | Dr Richard Kelly Staggenborg, MD
1010 1st St Se,
Bandon, OR 97411-9301
Ph: (541) 347-4736 |
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