Jake Metolius Waits, DO | |
1253 Nw Canal Blvd, Redmond, OR 97756-1334 | |
(541) 548-8131 | |
(541) 526-6608 |
Full Name | Jake Metolius Waits |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1253 Nw Canal Blvd, Redmond, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093982845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20972998 (Michigan) | Primary |
Entity Name | St Charles Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
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 |
Entity Name | St Charles Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227 |
Mailing Address | Practice Location Address |
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Jake Metolius Waits, DO 4845 Willamette Falls Dr, West Linn, OR 97068-3346 Ph: () - | Jake Metolius Waits, DO 1253 Nw Canal Blvd, Redmond, OR 97756-1334 Ph: (541) 548-8131 |
Catherine Elizabeth Fairgrieve Appel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 | |
Glynda Gaye Crabtree, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 253-838-6418 | |
Andrew Stokes Kleaveland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-460-4028 | |
Mindy Lipsitz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 | |
Angus Yatman Ng, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 | |
Matthew M Eschelbach, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 |