Mymd | |
2190 Ne Professional Ct #200 Bend OR 97701-6065 | |
(541) 322-6869 | |
(541) 639-3655 |
Full Name | Mymd |
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Speciality | Internal Medicine |
Location | 2190 Ne Professional Ct, Bend, Oregon |
Authorized Official Name and Position | Richard Alan Mac Donell (PHYSICIAN) |
Authorized Official Contact | 5413226869 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mymd 2190 Ne Professional Ct #200 Bend OR 97701-6065 Ph: (541) 322-6869 | Mymd 2190 Ne Professional Ct #200 Bend OR 97701-6065 Ph: (541) 322-6869 |
NPI Number | 1649334285 |
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Provider Enumeration Date | 12/20/2006 |
Last Update Date | 02/27/2013 |
Medicare PECOS PAC ID | 6709988710 |
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Medicare Enrollment ID | O20070222000152 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649334285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD22659 (Oregon) | Primary |
Provider Name | Richard A Macdonell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992745160 PECOS PAC ID: 7214923663 Enrollment ID: I20040422000106 |
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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 | |
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