Jeffrey K Bert, MD | |
2699 N 17th St, Coos Bay, OR 97420-2134 | |
(541) 266-3600 | |
(541) 269-0708 |
Full Name | Jeffrey K Bert |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 2699 N 17th St, Coos Bay, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871540252 | NPI | - | NPPES |
C105001 | Other | PACIFIC SOURCE | |
240218 | Medicaid | OR | |
200025535 | Other | RAILROAD MEDICARE | |
050922009 | Other | BLUE CROSS | |
97420A010 | Other | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD09764 (Oregon) | Primary |
Entity Name | South Coast Orthopaedic Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245284751 PECOS PAC ID: 2062408131 Enrollment ID: O20040423000168 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey K Bert, MD 2699 N 17th St, Coos Bay, OR 97420-2134 Ph: (541) 266-3600 | Jeffrey K Bert, MD 2699 N 17th St, Coos Bay, OR 97420-2134 Ph: (541) 266-3600 |
Michael Vincent Mclean, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Jason Scott Bell, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3635 | |
Shaun M Hobson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Garry T Vallier, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Alan L Whitney, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Dr. Randall W Jennings, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4515 | |
Dr. Harry Sirounian, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 |