Dr Snell Fontus, MD | |
1881 2nd St, Ste 201, Springfield, OR 97477-2145 | |
(541) 684-4716 | |
(541) 683-9790 |
Full Name | Dr Snell Fontus |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1881 2nd St, Springfield, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073639712 | NPI | - | NPPES |
1485633 | Medicaid | CA | |
086108 | Medicaid | OR | |
1681306 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD20286 (Oregon) | Primary |
2086S0127X | Surgery - Trauma Surgery | MD20286 (Oregon) | Secondary |
208C00000X | Colon & Rectal Surgery | MD20286 (Oregon) | Secondary |
Entity Name | Healogics Specialty Physicians Of Oregon Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841664752 PECOS PAC ID: 1254637846 Enrollment ID: O20160308001352 |
Mailing Address | Practice Location Address |
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Dr Snell Fontus, MD Po Box 10882, Eugene, OR 97440-2882 Ph: (541) 684-4716 | Dr Snell Fontus, MD 1881 2nd St, Ste 201, Springfield, OR 97477-2145 Ph: (541) 684-4716 |
Dr. Jose Viramontes Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1460 G St Ste 100, Springfield, OR 97477 Phone: 541-988-6330 Fax: 541-988-6340 | |
Dr. Paul S. Koh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3311 Riverbend Drive, Springfield, OR 97477 Phone: 541-222-2866 Fax: 541-222-2843 | |
Daniel A Cusati, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Peacehealth Surgical Specialties, 3355 Riverbend Dr., Suite 300, Springfield, OR 97477 Phone: 541-222-8333 Fax: 541-222-8320 | |
Dr. Warren M Glover, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3311 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3531 Fax: 541-222-2843 | |
Winnie W. Henderson, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3783 International Ct Ste 200, Springfield, OR 97477 Phone: 541-735-3778 Fax: 541-735-3772 | |
Nichole Ingalls, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Peacehealth Surgical Specialties, 3355 Riverbend Dr Ste 300, Springfield, OR 97477 Phone: 541-222-8333 Fax: 541-222-8320 |