| Alec Fedorov, MD | |
|
530 9th St, Florence, OR 97439-7388 | |
| (541) 997-7104 | |
| (541) 997-5975 |
| Full Name | Alec Fedorov |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 530 9th St, Florence, 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 |
|---|---|---|---|
| 1467401554 | NPI | - | NPPES |
| 288355 | Medicaid | OR | |
| MD22265 | Other | OR | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD22265 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peace Harbor Medical Center | Florence, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 4587573001 | 25 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598 |
| Entity Name | Oregon Healthcare Resources Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Alec Fedorov, MD 530 9th St, Florence, OR 97439-7388 Ph: (541) 997-7104 | Alec Fedorov, MD 530 9th St, Florence, OR 97439-7388 Ph: (541) 997-7104 |
Dr. Stephen Kent Riffenburgh, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 530 9th Street, Orthopedics, Florence, OR 97439 Phone: 541-997-7104 Fax: 541-997-5975 | |
Wade Clark Van Sice, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 530 9th St, Florence, OR 97439 Phone: 541-997-7104 Fax: 541-997-5975 | |
Dr. Bruce M. Watanabe, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 530 9th St, Florence, OR 97439 Phone: 541-997-7104 Fax: 541-997-5975 | |
Andrew M. Boughal, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 9th St, Florence, OR 97439 Phone: 541-997-7104 Fax: 541-902-7533 |