Jay N Gade, MD PHD | |
2440 Nw Edenbower Blvd, Roseburg, OR 97471-8847 | |
(541) 957-1141 | |
(541) 957-1466 |
Full Name | Jay N Gade |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 2440 Nw Edenbower Blvd, Roseburg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447222724 | NPI | - | NPPES |
150092 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD20360 (Oregon) | Primary |
Entity Name | Jay N. Gade M.d., Phd., Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841439312 PECOS PAC ID: 2062578057 Enrollment ID: O20090226000379 |
Mailing Address | Practice Location Address |
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Jay N Gade, MD PHD 2440 Nw Edenbower Blvd, Roseburg, OR 97471-8847 Ph: (541) 957-1141 | Jay N Gade, MD PHD 2440 Nw Edenbower Blvd, Roseburg, OR 97471-8847 Ph: (541) 957-1141 |
Paul Douglas Reicherter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave, Ste 310, Roseburg, OR 97471 Phone: 541-672-7546 Fax: 541-957-8446 | |
Kaylan Lawson Weese, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2440 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-957-1141 | |
Katherine Weber Braunlich, D.O Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2440 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-957-1141 | |
Dr. Julee K. Richards, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 341 Medical Loop Ste 110, Roseburg, OR 97471 Phone: 541-440-2165 Fax: 541-440-8932 |