Jon D Prulhiere, MD | |
1200 Mira Mar Ave, Medford, OR 97504-8546 | |
(541) 664-5151 | |
Not Available |
Full Name | Jon D Prulhiere |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 1200 Mira Mar Ave, Medford, 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 |
---|---|---|---|
1700857174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD23533 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Home Health | Portland, OR | Home health agency |
Providence Hospice | Portland, OR | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Entity Name | Northwest Medical Foundation Of Tillamook |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
Mailing Address | Practice Location Address |
---|---|
Jon D Prulhiere, MD 1208 Beall Ln, Central Point, OR 97502-1573 Ph: (541) 664-5151 | Jon D Prulhiere, MD 1200 Mira Mar Ave, Medford, OR 97504-8546 Ph: (541) 664-5151 |
Helen Koenigsman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 E Barnett Rd, Medford, OR 97504 Phone: 541-779-4711 | |
Dr. Todd S Kotler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504 Phone: 541-282-6606 Fax: 541-282-6601 | |
Dr. Mark G Moran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Ste 200, Medford, OR 97504 Phone: 541-282-6606 Fax: 541-282-6601 | |
Dr. June Symens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 555 Black Oak Dr Ste 400, Medford, OR 97504 Phone: 541-821-6090 | |
Donald L Bowser, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr, Suite 100, Medford, OR 97504 Phone: 541-789-5704 Fax: 541-789-5989 | |
Margaret Sara Fairhurst, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 400, Medford, OR 97504 Phone: 541-732-7960 | |
Dr. Sulagshan Mahendrarajah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Suite 201, Medford, OR 97504 Phone: 541-789-5790 Fax: 541-789-5711 |