Lee W Davidson, MD | |
1460 G St, Springfield, OR 97477-4112 | |
(541) 726-4400 | |
Not Available |
Full Name | Lee W Davidson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1460 G St, Springfield, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780639385 | NPI | - | NPPES |
134240 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD21966 (Oregon) | Primary |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | MD21966 (Oregon) | Secondary |
Entity Name | Icco Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
Entity Name | Doctors Emergency Room Corp Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749 |
Mailing Address | Practice Location Address |
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Lee W Davidson, MD Po Box 11840, Westminster, CA 92685-1840 Ph: (800) 511-4875 | Lee W Davidson, MD 1460 G St, Springfield, OR 97477-4112 Ph: (541) 726-4400 |
Kevin Matthew Allan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-344-8757 | |
Jeremy Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-7300 | |
Benjamin J Bronicel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4400 | |
Dr. Kevin Joseph Schoen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4400 | |
Patrick Kelly, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-7300 | |
Dr. Jenna Lynn Shenk, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401 | |
Edward Pak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4400 |