Michael Marietta, MD | |
2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471-1203 | |
(541) 673-2267 | |
(541) 672-9483 |
Full Name | Michael Marietta |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 8 Years |
Location | 2880 Nw Stewart Pkwy Ste 100, 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 |
---|---|---|---|
1669823985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R-10677 (Iowa) | Secondary |
2085R0001X | Radiology - Radiation Oncology | MD206700 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Roseburg, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Cancer Foundation | 1951345347 | 4 |
Entity Name | Community Cancer Foundation |
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Entity Type | Part B Supplier - Radiation Therapy Center |
Entity Identifiers | NPI Number: 1457351991 PECOS PAC ID: 1951345347 Enrollment ID: O20080625000338 |
Mailing Address | Practice Location Address |
---|---|
Michael Marietta, MD 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 Ph: () - | Michael Marietta, MD 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471-1203 Ph: (541) 673-2267 |
David G Seibel, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 2028 Fisher Rd, Roseburg, OR 97470 Phone: 541-673-7615 | |
John Mccaffrey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97470 Phone: 541-440-1000 | |
Michael L Brown, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471 Phone: 541-673-2267 | |
Dr. Sylvia K Gosline, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 148 N River Dr, Roseburg, OR 97470 Phone: 541-672-5542 Fax: 541-672-7798 | |
Jerry G Warren, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 621 Se Cass Ave, Suite 126, Roseburg, OR 97470 Phone: 541-580-0304 | |
Dr. Randy Lee Moore, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-673-2267 Fax: 541-672-9483 | |
Kenneth L Linden, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1887 W Harvard Ave, Roseburg, OR 97470 Phone: 541-673-4303 Fax: 541-440-9739 |