| Central Oregon Dermatology, Pc | |
|
388 Sw Bluff Dr Bend OR 97702-1360 | |
| (541) 678-0020 | |
| (541) 383-2174 |
| Full Name | Central Oregon Dermatology, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 388 Sw Bluff Dr, Bend, Oregon |
| Authorized Official Name and Position | Jodi Haney (OFFICE MANAGER) |
| Authorized Official Contact | 5413232181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oregon Dermatology, Pc 388 Sw Bluff Dr Bend OR 97702-1360 Ph: (541) 678-0020 | Central Oregon Dermatology, Pc 388 Sw Bluff Dr Bend OR 97702-1360 Ph: (541) 678-0020 |
| NPI Number | 1336307875 |
|---|---|
| Provider Enumeration Date | 05/31/2008 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5294806832 |
|---|---|
| Medicare Enrollment ID | O20080625000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336307875 | NPI | - | NPPES |
| MD26648 | Other | OR | LICENSE |
| 241835 | Medicaid | OR | |
| 1609815166 | Other | OR | NPI (INDIVIDUAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD26648 (Oregon) | Primary |
| Provider Name | Mark A Hall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609815166 PECOS PAC ID: 4587667134 Enrollment ID: I20060821000295 |
| Provider Name | Jill Olinger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396745303 PECOS PAC ID: 6204861131 Enrollment ID: I20170810000553 |
Pine Springs Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-480-2827 | |
St. Charles Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701 Phone: 541-383-3005 | |
Adam Derr, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606 | |
Driven Enterprises Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20700 Wandalea Dr, Bend, OR 97701 Phone: 435-669-2930 | |
Bend Plastic Surgery Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1239 Ne Medical Center Dr Ste 240, Bend, OR 97701 Phone: 541-749-2282 Fax: 541-749-2283 | |
St. Charles Immediate Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-3700 Fax: 541-706-3730 |