| Mary L. Meador Md Pc | |
|
115 Nw Greeley Ave Bend OR 97701-2913 | |
| (541) 771-7756 | |
| Not Available |
| Full Name | Mary L. Meador Md Pc |
|---|---|
| Speciality | Counselor |
| Location | 115 Nw Greeley Ave, Bend, Oregon |
| Authorized Official Name and Position | Mary L. Meador (CEO) |
| Authorized Official Contact | 5417717756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L. Meador Md Pc 115 Nw Greeley Ave Bend OR 97701-2913 Ph: (541) 771-7756 | Mary L. Meador Md Pc 115 Nw Greeley Ave Bend OR 97701-2913 Ph: (541) 771-7756 |
| NPI Number | 1023214301 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0345335857 |
|---|---|
| Medicare Enrollment ID | O20100616000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023214301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MD16758 (Oregon) | Primary |
| Provider Name | Mary L Meador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225072309 PECOS PAC ID: 6901818756 Enrollment ID: I20060620000013 |
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