Gregory A Lackides, MD | |
2020 Capitol St Ne, Salem, OR 97303-3244 | |
(503) 399-2424 | |
(503) 375-7429 |
Full Name | Gregory A Lackides |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 37 Years |
Location | 2020 Capitol St Ne, Salem, 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 |
---|---|---|---|
1770522690 | NPI | - | NPPES |
CS4159 | Other | RAILROAD GROUP | |
080132461 | Other | RAILROAD MEDICARE | |
151219 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD151219 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Salem Hospital | Salem, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salem Clinic, Pc | 7517954514 | 87 |
Entity Name | Salem Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150 |
Mailing Address | Practice Location Address |
---|---|
Gregory A Lackides, MD Po Box 8100, Salem, OR 97303-0900 Ph: (503) 399-2424 | Gregory A Lackides, MD 2020 Capitol St Ne, Salem, OR 97303-3244 Ph: (503) 399-2424 |
Dr. Andrew P. Hope, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Suite 4000, Salem, OR 97301 Phone: 503-364-0189 Fax: 503-364-9288 | |
Brett W Mikeska, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 Fax: 503-561-8560 | |
Dr. Aneet Jyot Deo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 Fax: 503-561-8560 | |
Dr. Sitalakshmi Jayamani Iyer, M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 | |
Joseph J Thaler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5050 Skyline Village Loop S, Salem, OR 97306 Phone: 503-391-1110 Fax: 503-370-4237 | |
Dr. Krystyna Antonina Pekalska, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Lancaster Dr Ne, Salem, OR 97305 Phone: 503-361-5400 | |
Dr. Falguny I Bhavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Ste 3010, Salem, OR 97301 Phone: 503-399-7520 Fax: 503-362-7344 |