Mr Nirmal Bastola, MD | |
5900 Inland Shores Way N, Keizer, OR 97303-3883 | |
(503) 399-2424 | |
(503) 589-6240 |
Full Name | Mr Nirmal Bastola |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 5900 Inland Shores Way N, Keizer, 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 |
---|---|---|---|
1730310830 | NPI | - | NPPES |
500721109 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6135 (Nebraska) | Secondary |
207Q00000X | Family Medicine | MD181082 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
First Call Home Health Agency, Llc | Salem, OR | Home health agency |
Salem Hospital | Salem, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salem Clinic, Pc | 7517954514 | 87 |
Entity Name | Salem Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150 |
Mailing Address | Practice Location Address |
---|---|
Mr Nirmal Bastola, MD 2020 Capitol St Ne, Salem, OR 97301-0644 Ph: (503) 399-2424 | Mr Nirmal Bastola, MD 5900 Inland Shores Way N, Keizer, OR 97303-3883 Ph: (503) 399-2424 |
Mr. Micaiah Matthew Kuzma, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Inland Shores Way, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-589-6240 | |
Quentin Wandyke Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5100 River Rd N, Keizer, OR 97303 Phone: 503-393-2533 Fax: 503-393-5978 | |
Johan Kohler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2470 Fax: 503-375-7429 | |
Dr. Ronald Matthew Palm, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 Dietz Ave Ne, Keizer, OR 97303 Phone: 503-393-0540 | |
Lesley E Garber, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-375-7429 | |
Anne A Nunes, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-375-7429 | |
Gregory M Thomas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5100 River Rd N, Keizer, OR 97303 Phone: 503-393-2533 Fax: 503-393-5978 |