Mr Jeffrey William Chudoba, MD | |
2900 Daggett Ave, Klamath Falls, OR 97601-7101 | |
(541) 205-3974 | |
(541) 205-5652 |
Full Name | Mr Jeffrey William Chudoba |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 2900 Daggett Ave, Klamath Falls, 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 |
---|---|---|---|
1104811322 | NPI | - | NPPES |
232545 | Medicaid | OR | |
XPY192082 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD21637 (Oregon) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | MD21637 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sky Lakes Medical Center | Klamath falls, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sky Lakes Medical Center Inc | 1052204096 | 145 |
Entity Name | Sky Lakes Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey William Chudoba, MD Po Box 7326, Klamath Falls, OR 97602-0326 Ph: (541) 205-5652 | Mr Jeffrey William Chudoba, MD 2900 Daggett Ave, Klamath Falls, OR 97601-7101 Ph: (541) 205-3974 |
Edward Thomas Mcclure, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bryant Williams Dr Fl 2, Klamath Falls, OR 97601 Phone: 541-883-3391 Fax: 541-883-2250 | |
Thomas R Brown, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2900 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-884-1371 Fax: 541-274-6247 | |
Dr. Jill Sara Fay, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2613 Almond St, Klamath Falls, OR 97601 Phone: 541-851-9396 Fax: 541-851-9399 | |
Dr. Scott Edward Potenta, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-884-1317 Fax: 541-274-4395 | |
Christopher John Baumann, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-205-3974 Fax: 541-205-5652 | |
Dr. Scott Michael Allen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-205-3974 Fax: 541-205-5652 |