Dr Theo Herbert Powell, MD | |
495 Sw Ramsey Ave, Grants Pass, OR 97527 | |
(541) 476-6644 | |
(541) 472-5673 |
Full Name | Dr Theo Herbert Powell |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 50 Years |
Location | 495 Sw Ramsey Ave, Grants Pass, 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 |
---|---|---|---|
1164427951 | NPI | - | NPPES |
074527 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD11637 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grants Pass Clinic Llp | 9234123977 | 17 |
Entity Name | Grants Pass Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760418032 PECOS PAC ID: 9234123977 Enrollment ID: O20040414000467 |
Mailing Address | Practice Location Address |
---|---|
Dr Theo Herbert Powell, MD 495 Sw Ramsey Ave, Grants Pass, OR 97527 Ph: (541) 476-6644 | Dr Theo Herbert Powell, MD 495 Sw Ramsey Ave, Grants Pass, OR 97527 Ph: (541) 476-6644 |
Melissa M Greive, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Nw 6th St, Grants Pass, OR 97526 Phone: 541-474-5533 | |
Dr. Estin Yang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 537 Union Ave, Grants Pass, OR 97527 Phone: 541-507-2110 Fax: 541-479-6779 | |
Dr. Cory Fawcett, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Nw 6th St, North Suite, Grants Pass, OR 97526 Phone: 541-474-5533 Fax: 541-476-2380 | |
Mark Anthony Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 N.w. 6th Street, North Suite, Grants Pass, OR 97526 Phone: 541-474-5533 Fax: 541-476-2380 | |
Richard Scott Nelson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Sw Ramsey Ave, Suite 204, Grants Pass, OR 97527 Phone: 541-479-8308 Fax: 541-474-0447 | |
Dr. Brittany Leigh Tabler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 537 Union Ave Fl 2, Grants Pass, OR 97527 Phone: 541-507-2110 Fax: 541-479-6779 |