| Emerald Tms, Llc | |
|
1140 Willagillespie Rd Ste 44 Eugene OR 97401-6727 | |
| (541) 735-3241 | |
| Not Available |
| Full Name | Emerald Tms, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1140 Willagillespie Rd Ste 44, Eugene, Oregon |
| Authorized Official Name and Position | Dennis James Chaltraw (CONSULTANT) |
| Authorized Official Contact | 5419991848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Tms, Llc 1140 Willagillespie Rd Ste 44 Eugene OR 97401-6727 Ph: (541) 735-3241 | Emerald Tms, Llc 1140 Willagillespie Rd Ste 44 Eugene OR 97401-6727 Ph: (541) 735-3241 |
| NPI Number | 1003301011 |
|---|---|
| Provider Enumeration Date | 06/22/2018 |
| Last Update Date | 01/11/2019 |
| Medicare PECOS PAC ID | 8123371721 |
|---|---|
| Medicare Enrollment ID | O20181029002648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003301011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jocelyn W Bonner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275545105 PECOS PAC ID: 2860463239 Enrollment ID: I20040802000536 |
| Provider Name | Alfredo J Velez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619175635 PECOS PAC ID: 7618038464 Enrollment ID: I20081211000468 |
| Provider Name | Paul Han-bae Choi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134235567 PECOS PAC ID: 9830355411 Enrollment ID: I20120726000029 |
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