West Bend Family Medicine | |
633 Nw York Dr Ste 110 Bend OR 97703-9701 | |
(541) 383-8066 | |
Not Available |
Full Name | West Bend Family Medicine |
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Speciality | Family Medicine |
Location | 633 Nw York Dr Ste 110, Bend, Oregon |
Authorized Official Name and Position | Matthew Rode (MANAGER) |
Authorized Official Contact | 5413838066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Bend Family Medicine 633 Nw York Dr Ste 110 Bend OR 97703-9701 Ph: (541) 383-8066 | West Bend Family Medicine 633 Nw York Dr Ste 110 Bend OR 97703-9701 Ph: (541) 383-8066 |
NPI Number | 1316060163 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 06/21/2024 |
Medicare PECOS PAC ID | 0143311225 |
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Medicare Enrollment ID | O20070802000754 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316060163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Matthew Rode |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477559383 PECOS PAC ID: 4789627134 Enrollment ID: I20050607000112 |
Provider Name | Megan M Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952636714 PECOS PAC ID: 9638218936 Enrollment ID: I20180813001174 |
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