Dr Ryan P Gallivan, MD | |
2450 Ne Mary Rose Pl, Suite 120, Bend, OR 97701-7132 | |
(541) 382-3100 | |
(541) 312-7050 |
Full Name | Dr Ryan P Gallivan |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 28 Years |
Location | 2450 Ne Mary Rose Pl, Bend, 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 |
---|---|---|---|
1043292196 | NPI | - | NPPES |
286590 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 23746 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Medical Center - Bend | Bend, OR | Hospital |
Sky Lakes Medical Center | Klamath falls, OR | Hospital |
St Charles Prineville | Prineville, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey | 7416939954 | 11 |
Entity Name | Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902813884 PECOS PAC ID: 7416939954 Enrollment ID: O20040607001059 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan P Gallivan, MD 2450 Ne Mary Rose Pl, Suite 120, Bend, OR 97701-7132 Ph: (541) 382-3100 | Dr Ryan P Gallivan, MD 2450 Ne Mary Rose Pl, Suite 120, Bend, OR 97701-7132 Ph: (541) 382-3100 |
Michael E Villano, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 431 Ne Revere Ave, Suite B, Bend, OR 97701 Phone: 541-312-1145 | |
Matthew L Hinsley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2450 Ne Mary Rose Pl Ste 120, Bend, OR 97701 Phone: 505-661-4147 | |
Kenneth Arthur Bagwell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2450 Ne Mary Rose Pl Ste 120, Bend, OR 97701 Phone: 203-688-2259 Fax: 203-688-5599 | |
J David Wood, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ne Mary Rose Pl, Suite 120, Bend, OR 97701 Phone: 541-312-6799 Fax: 541-312-7050 | |
Dr. Andrew James Johnson, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2450 Ne Mary Rose Pl Ste 120, Bend, OR 97701 Phone: 541-312-7056 Fax: 541-385-4935 | |
Dr. C Christian Friess, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2450 Ne Mary Rose Pl, Ste 120, Bend, OR 97701 Phone: 541-382-3100 Fax: 541-312-7050 |