Dr Ehsan Hazrat, MD | |
1515 Village Dr, Cottage Grove, OR 97424-9700 | |
(541) 767-5200 | |
(541) 767-5353 |
Full Name | Dr Ehsan Hazrat |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 13 Years |
Location | 1515 Village Dr, Cottage Grove, 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 |
---|---|---|---|
1043564586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125062419 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth Cottage Grove Community Medical Center | Cottage grove, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth Medical Group | 9032023270 | 206 |
Peacehealth Medical Group Cottage Grove | 9436060530 | 15 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 |
Entity Name | Peacehealth Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Entity Name | Peacehealth Medical Group Cottage Grove |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760704878 PECOS PAC ID: 6507997475 Enrollment ID: O20110104001109 |
Mailing Address | Practice Location Address |
---|---|
Dr Ehsan Hazrat, MD 1115 Se 164th Ave, Dept 358, Vancouver, WA 98683-9324 Ph: (541) 767-5200 | Dr Ehsan Hazrat, MD 1515 Village Dr, Cottage Grove, OR 97424-9700 Ph: (541) 767-5200 |
Dr. Naiman Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-0511 | |
Dr. James F Harrison, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6614 Fax: 541-942-6696 | |
Judith Dolene Stensland, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-5550 | |
Dr. Paul A Bilder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1445 Gateway Blvd., Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-5550 | |
Dr. Gerald A Barker, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6614 Fax: 541-942-0353 | |
Dennis Gere Polzin Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36429 Row River Rd, Cottage Grove, OR 97424 Phone: 262-235-2608 |