Gary Lee Thueson, MD is a
Family Medicine physician based in /waldport, Oregon. Gary Lee Thueson is licensed to practice in Oregon (license number MD15092) and his current practice location is 525 Bay Street, /waldport, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 563-4833.
NPI number for Gary Lee Thueson is 1043212186 and his current mailing address is Po Box 979, Waldport, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043212186.
Physician's Profile
| Full Name | Gary Lee Thueson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 525 Bay Street, /waldport, 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: 1043212186
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 01/12/2010
Medical Identifiers
Medical identifiers for Gary Lee Thueson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043212186 | NPI | - | NPPES |
| 148304 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD15092 (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. Gary Lee Thueson 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 |
|---|
Gary Lee Thueson, MD
Po Box 979,
Waldport, OR 97394-0979
Ph: (541) 563-4833 | Gary Lee Thueson, MD
525 Bay Street,
/waldport, OR 97394
Ph: (541) 563-4833 |
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