Marta S Johnson-mitchell, DO | |
1698 E Mcandrews Rd Ste 280, Medford, OR 97504-5590 | |
(541) 774-5808 | |
(541) 732-3910 |
Full Name | Marta S Johnson-mitchell |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 15 Years |
Location | 1698 E Mcandrews Rd Ste 280, Medford, 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 |
---|---|---|---|
1356570055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 5101018239 (Michigan) | Secondary |
208800000X | Urology | 57247 (Minnesota) | Secondary |
208800000X | Urology | DO174428 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Medical Center - Bend | Bend, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rogue Valley Urology Pc | 2567435142 | 8 |
Entity Name | Rogue Valley Urology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467421404 PECOS PAC ID: 2567435142 Enrollment ID: O20040813000269 |
Mailing Address | Practice Location Address |
---|---|
Marta S Johnson-mitchell, DO 1698 E Mcandrews Rd Ste 280, Medford, OR 97504-5590 Ph: (541) 774-5808 | Marta S Johnson-mitchell, DO 1698 E Mcandrews Rd Ste 280, Medford, OR 97504-5590 Ph: (541) 774-5808 |
Patrick Erin Davol, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 280, Medford, OR 97504 Phone: 541-774-5808 Fax: 541-732-3910 | |
Mr. Thong Tien Bui, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd, Ste 280, Medford, OR 97504 Phone: 541-774-5808 Fax: 541-732-3910 | |
Liam Connor Macleod, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 691 Murphy Rd Ste 107, Medford, OR 97504 Phone: 541-789-5121 | |
Dr. Edward Bruce Barrows, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd, Ste 280, Medford, OR 97504 Phone: 541-774-5808 Fax: 541-732-3910 | |
Dr. Amy Hyun Jung Lim, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 691 Murphy Rd Ste 107, Medford, OR 97504 Phone: 541-789-5121 | |
Dr. Kadi-ann Bryan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 280, Medford, OR 97504 Phone: 541-774-5808 Fax: 541-732-3910 |