| Barrett Jereme Woodhall, MD | |
|
1201 Ne Elm St, Prineville, OR 97754-1206 | |
| (541) 447-6254 | |
| Not Available |
| Full Name | Barrett Jereme Woodhall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1201 Ne Elm St, Prineville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174799902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD28250 (Oregon) | Primary |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Barrett Jereme Woodhall, MD 3311 Indian Queen Ln, Apt.#2, Philadelphia, PA 19129-1519 Ph: (215) 908-6392 | Barrett Jereme Woodhall, MD 1201 Ne Elm St, Prineville, OR 97754-1206 Ph: (541) 447-6254 |
Douglas Chester Gruzd, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 Ne Elm, Prineville, OR 97754 Phone: 541-447-6254 Fax: 541-447-2511 | |
Dr. Brian William Lane, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 N Elm, Prineville, OR 97754 Phone: 541-447-6254 | |
Dr. Daniel S Ballin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 N Elm, Prineville, OR 97754 Phone: 541-447-6254 | |
David Ernest Magaret, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 Ne Elm St, Prineville, OR 97754 Phone: 541-447-6254 Fax: 541-447-2511 |