Virginia Barak, MD | |
3377 Riverbend Dr, Springfield, OR 97477-8803 | |
(541) 222-6160 | |
(541) 222-6166 |
Full Name | Virginia Barak |
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Gender | Female |
Speciality | Pediatrics |
Location | 3377 Riverbend Dr, Springfield, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063948461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | BP10059338 (Texas) | Secondary |
208000000X | Pediatrics | MD200180 (Oregon) | Primary |
Entity Name | Peacehealth |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 |
Entity Name | Peacehealth Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Entity Name | Peacehealth Medical Group Cottage Grove |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
Mailing Address | Practice Location Address |
---|---|
Virginia Barak, MD 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1253 | Virginia Barak, MD 3377 Riverbend Dr, Springfield, OR 97477-8803 Ph: (541) 222-6160 |
Dr. Brendan Patrick Kelly, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8500 Fax: 541-222-6435 | |
Dr. Daniel Kent Morrow, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3355 Riverbend Dr Ste 220, Springfield, OR 97477 Phone: 503-418-5700 | |
Todd A Huffman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1442 S A St, Springfield, OR 97477 Phone: 541-726-4100 Fax: 541-725-4900 | |
Dr. Igor Michael Gladstone Ii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3355 Riverbend Dr Ste 220, Springfield, OR 97477 Phone: 541-686-8790 | |
Dr. Daniel Erichsen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-2402 Fax: 541-222-2350 | |
Dr. Francesca My Hernandez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4400 |