Ronald Dale Jaecks, MD | |
5125 Skyline Rd S, Salem, OR 97306-9427 | |
(503) 361-5400 | |
(503) 566-4518 |
Full Name | Ronald Dale Jaecks |
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Gender | Male |
Speciality | Surgery |
Location | 5125 Skyline Rd S, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750406039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD20773 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Ronald Dale Jaecks, MD 380 Jerris Ave Se, Salem, OR 97302-5278 Ph: (503) 315-2222 | Ronald Dale Jaecks, MD 5125 Skyline Rd S, Salem, OR 97306-9427 Ph: (503) 361-5400 |
Mark Steven Peterson, MD Surgery Medicare: Medicare Enrolled Practice Location: 925 Commercial St Se Ste 102, Salem, OR 97302 Phone: 503-561-7227 Fax: 503-671-8334 | |
Dr. Peter Augusto Bernardo, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 700 Bellevue St Se, Suite 230, Salem, OR 97301 Phone: 503-585-6586 Fax: 503-371-4180 | |
Jiyoun E Kim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2020 Capitol St Ne, Salem, OR 97301 Phone: 503-399-2470 Fax: 503-375-7429 | |
Eric A Laro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 Skyline Village Loop S, Salem, OR 97306 Phone: 503-391-1110 Fax: 503-370-4237 | |
Dr. Patrick O'herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-561-5200 | |
Dr. Rick Dewitt Pittman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
Dr. Elizabeth Maryann Windell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-2448 |