Swati S Kakodkar, MD | |
1700 Geary St Se Ste 400, Albany, OR 97322-6842 | |
(541) 812-5500 | |
Not Available |
Full Name | Swati S Kakodkar |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1700 Geary St Se Ste 400, Albany, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578632469 | NPI | - | NPPES |
MD00047611 | Other | WA | LICENSE |
293879 | Other | OR | WA L&I |
P00893287 | Other | OR | RR MEDICARE |
500627227 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD152532 (Oregon) | Primary |
207Q00000X | Family Medicine | MD00047611 (Washington) | Secondary |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
Swati S Kakodkar, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Swati S Kakodkar, MD 1700 Geary St Se Ste 400, Albany, OR 97322-6842 Ph: (541) 812-5500 |
Damian E Jorgensen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 633 N Albany Rd Nw, Albany, OR 97321 Phone: 541-926-3441 | |
Dr. Katherine Merkle, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 534 Pleasant View Way Nw Ste 100, Albany, OR 97321 Phone: 541-812-5656 | |
Dr. John R. Ward Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Geary St Se Ste 200, Albany, OR 97322 Phone: 541-812-5570 | |
Dr. Stephen Joel Hallas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 534 Pleasant View Way Nw Ste 100, Albany, OR 97321 Phone: 541-812-5656 | |
Elizabeth A Robb, Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 Geary St Se Ste 200, Albany, OR 97322 Phone: 541-812-5570 | |
Rebecca L Pengilly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 Waverly Dr Se, Albany, OR 97322 Phone: 541-967-8221 | |
Ms. Kea Michelle Crandall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 Fax: 541-812-4126 |