John F Dauterman, MD | |
2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | |
(541) 677-4313 | |
(541) 677-4533 |
Full Name | John F Dauterman |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 29 Years |
Location | 2700 Nw Stewart Pkwy, Roseburg, 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 |
---|---|---|---|
1861463044 | NPI | - | NPPES |
287547 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MD23060 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Roseburg, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centennial Medical Group Inc | 6103982962 | 44 |
Entity Name | Centennial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063 |
Mailing Address | Practice Location Address |
---|---|
John F Dauterman, MD 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 Ph: (541) 677-4313 | John F Dauterman, MD 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 Ph: (541) 677-4313 |
Timothy F Gladding Jr., MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-4313 Fax: 541-677-4533 | |
Claire Michelle Pollard, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 520-609-8870 Fax: 541-677-2410 | |
Yan Wang, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97470 Phone: 541-440-1000 |