Kerry Anne Scully Proctor, MD | |
1700 E 19th St, The Dalles, OR 97058-3317 | |
(541) 296-1111 | |
Not Available |
Full Name | Kerry Anne Scully Proctor |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 23 Years |
Location | 1700 E 19th St, The Dalles, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235353863 | NPI | - | NPPES |
8494999 | Medicaid | OR | |
R0000ZBBWZ | Other | OR | MEDICARE GROUP NO |
Facility Name | Location | Facility Type |
---|---|---|
Mid-columbia Medical Center | The dalles, OR | Hospital |
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-columbia Medical Center | 3779487251 | 98 |
Entity Name | Mid-columbia Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
Entity Name | Columbia Gorge Pathology Associates, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457532517 PECOS PAC ID: 9739343526 Enrollment ID: O20120606000643 |
Mailing Address | Practice Location Address |
---|---|
Kerry Anne Scully Proctor, MD 1700 E 19th St, The Dalles, OR 97058-3317 Ph: (541) 296-1111 | Kerry Anne Scully Proctor, MD 1700 E 19th St, The Dalles, OR 97058-3317 Ph: (541) 296-1111 |
Dr. Frederick C Schubert, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 | |
Mr. Arthur Vaneaton, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 | |
Vassil Kaimaktchiev, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7230 Fax: 541-296-7630 | |
Hahn Huang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 |