G Jason Wilks, DPM | |
1813 W Harvard Ave Ste 201, Roseburg, OR 97471-2754 | |
(541) 673-0742 | |
(541) 673-7553 |
Full Name | G Jason Wilks |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 26 Years |
Location | 1813 W Harvard Ave Ste 201, Roseburg, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316006539 | NPI | - | NPPES |
067946000 | Other | OR | REGENCE |
7600580001 | Other | OR | PTAN DME |
DX4938 | Other | OR | RR MDC GROUP PTAN |
500720262 | Medicaid | OR | |
430895102 | Other | OR | REGENCE BC HMO |
480028890 | Other | RR MEDICARE | |
R192914 | Other | OR | PTAN MEDICARE ORGANIZATION |
D201111 | Other | OR | PACIFIC SOURCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | DP00318 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Roseburg, OR | Hospital |
Provider Name | G Jason Wilks Dpm Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639614647 PECOS PAC ID: 2365725587 Enrollment ID: O20170214002629 |
Mailing Address | Practice Location Address |
---|---|
G Jason Wilks, DPM 2579 Nw Edenbower Blvd, Roseburg, OR 97471-6220 Ph: (541) 673-0742 | G Jason Wilks, DPM 1813 W Harvard Ave Ste 201, Roseburg, OR 97471-2754 Ph: (541) 673-0742 |
Micah D Tovey, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663 Fax: 541-229-0213 | |
Dr. Brandon Wallace Bishop, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471 Phone: 541-229-2663 Fax: 541-229-0213 | |
Dr. Cordell Becker Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615 | |
Logan Gull, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-680-4165 | |
Wilks Advanced Foot Care Podiatrist Medicare: Medicare Enrolled Practice Location: 2564 Nw Edenbower Blvd, Ste 142, Roseburg, OR 97471 Phone: 541-673-0742 Fax: 541-673-7553 | |
Kash K. Siepert, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615 |