William S Cornish, MD | |
825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | |
(541) 996-7480 | |
(541) 557-6439 |
Full Name | William S Cornish |
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Gender | Male |
Speciality | Family Medicine |
Location | 825 Nw Highway 101, Lincoln City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013993880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 27277 (Arizona) | Secondary |
207Q00000X | Family Medicine | MD172387 (Oregon) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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William S Cornish, MD Po Box 1194, Corvallis, OR 97339-1194 Ph: () - | William S Cornish, MD 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 Ph: (541) 996-7480 |
Dr. Robert J. Kaye, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 825 Nw Highway 101, Lincoln City, OR 97367 Phone: 541-996-7480 Fax: 541-557-6439 | |
Marilyn Jean Fraser, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367 Phone: 541-994-9191 Fax: 541-994-9034 | |
Brian Craig Handley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367 Phone: 503-965-6555 Fax: 503-965-6800 |