| Alice So, MD | |
|
3377 Riverbend Dr, Springfield, OR 97477-8803 | |
| (541) 222-6389 | |
| (541) 222-6385 |
| Full Name | Alice So |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 20 Years |
| Location | 3377 Riverbend Dr, Springfield, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407968431 | NPI | - | NPPES |
| 30206568 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 13564 (New Hampshire) | Secondary |
| 208M00000X | Hospitalist | MD174884 (Oregon) | Primary |
| 207R00000X | Internal Medicine | 13564 (New Hampshire) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Peacehealth Cottage Grove Community Medical Center | Cottage grove, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 8527016039 | 172 |
| 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 | Mckenzie Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316909054 PECOS PAC ID: 1254307994 Enrollment ID: O20040903000766 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740223874 PECOS PAC ID: 8527016039 Enrollment ID: O20050111000353 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578552402 PECOS PAC ID: 4587573001 Enrollment ID: O20061104000179 |
| Entity Name | Vibra Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20140528001804 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice So, MD 44 Birch St, Suite 201, Derry, NH 03038-2752 Ph: (603) 421-2384 | Alice So, MD 3377 Riverbend Dr, Springfield, OR 97477-8803 Ph: (541) 222-6389 |
Cristian Mugurel Hutanu, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Peacehealth Hospital Medicine, 3377 River Bend Drive, Springfield, OR 97477 Phone: 541-222-6389 Fax: 541-222-6385 | |
Benjamin Stuart Huneycutt, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Peacehealth Hospital Medicine, 3377 Riverbend Drive, Springfield, OR 97477 Phone: 541-222-6389 Fax: 541-222-6385 | |
Kantee Karki, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-6389 | |
Basanta Pathak, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Peacehealth Hospital Medicine, 3377 Riverbend Drive, Springfield, OR 97477 Phone: 541-222-6389 Fax: 541-222-6385 | |
Dr. Marc Joseph Coz Zarraga, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-6389 Fax: 541-222-6385 | |
Zakhar Serkin, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401 | |
Dr. Joanna Marie Bautista Aquino-laban, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-6389 Fax: 541-222-6385 |