Dr Thurman Allen Merritt, | |
701 N 5th St Unit C1020, Lebanon, OR 97355-9599 | |
(541) 451-7820 | |
(541) 451-7236 |
Full Name | Dr Thurman Allen Merritt |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 701 N 5th St Unit C1020, Lebanon, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124006598 | NPI | - | NPPES |
080635 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD19863 (Oregon) | Primary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | G28294 (California) | Secondary |
Entity Name | Mckenzie Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316909054 PECOS PAC ID: 1254307994 Enrollment ID: O20040903000766 |
Mailing Address | Practice Location Address |
---|---|
Dr Thurman Allen Merritt, 701 N 5th St Unit C1020, Lebanon, OR 97355-9599 Ph: (541) 451-7820 | Dr Thurman Allen Merritt, 701 N 5th St Unit C1020, Lebanon, OR 97355-9599 Ph: (541) 451-7820 |
Edward P. Junkins Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Mullins Dr, Lebanon, OR 97355 Phone: 541-259-0200 | |
Dr. Shi H. Lee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Twin Oaks Ave, Suite A-2, Lebanon, OR 97355 Phone: 541-451-7820 Fax: 541-451-7236 | |
Dr. Richard Howell Ames, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 | |
Dr. Robert Paulsen Michael, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 675 N 5th St, Lebanon, OR 97355 Phone: 541-451-6282 Fax: 541-812-2038 | |
Carolina Del Socorro Amador, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 |