Gregg S Densmore, MD | |
700 Sunset Dr, Ste F, La Grande, OR 97850-1260 | |
(541) 963-8578 | |
(541) 963-8932 |
Full Name | Gregg S Densmore |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 700 Sunset Dr, La Grande, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184624975 | NPI | - | NPPES |
057724 | Medicaid | OR | |
057724 | Other | WA | DEPT LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD18510 (Oregon) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Gregg S Densmore, MD 700 Sunset Dr, Ste F, La Grande, OR 97850-1260 Ph: (541) 963-8578 | Gregg S Densmore, MD 700 Sunset Dr, Ste F, La Grande, OR 97850-1260 Ph: (541) 963-8578 |
Dr. Adam James Heisinger, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 Fax: 541-963-1476 | |
Donald O. Warren, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 | |
James R Kopp, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1902 4th St Ste 3, La Grande, OR 97850 Phone: 541-963-9843 Fax: 541-963-8746 | |
Benjamin Olson, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 |