Mr Michael Racine, MD | |
2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | |
(541) 677-7200 | |
(541) 229-3309 |
Full Name | Mr Michael Racine |
---|---|
Gender | Male |
Speciality | Endocrinology |
Experience | 29 Years |
Location | 2570 Nw Edenbower Blvd 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 |
---|---|---|---|
1144287848 | NPI | - | NPPES |
500678063 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD170115 (Oregon) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | MD170115 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Roseburg, OR | Hospital |
Bay Area Hospital | Coos bay, OR | Hospital |
Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centennial Medical Group East Llc | 9234397878 | 55 |
Entity Name | Peacehealth Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Entity Name | Centennial Medical Group East Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134436637 PECOS PAC ID: 9234397878 Enrollment ID: O20120228000510 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Racine, MD 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200 | Mr Michael Racine, MD 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200 |
Ebelosele El-hannan Aigbivbalu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 Nw Stewart Parkway, Roseburg, OR 97471 Phone: 541-677-2888 | |
Adam Kanafani, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-677-4319 Fax: 541-677-2294 | |
Elise Anne Lippincott, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2570 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-677-7200 | |
Robert Louis Dannenhoffer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 | |
Dr. Lucinda Jane Dykes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 800-549-8387 Fax: 541-440-1334 | |
Dr. Elizabeth Bish Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Bellwood Ln, Roseburg, OR 97471 Phone: 541-580-0345 | |
Mrs. Cynthia Blinn Steele, MSN, FNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 |