| Bhavani Peddagovindu, MD | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2045 | |
| (541) 267-5151 | |
| (541) 266-4572 |
| Full Name | Bhavani Peddagovindu |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 1900 Woodland Dr, Coos Bay, 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 |
|---|---|---|---|
| 1013167303 | NPI | - | NPPES |
| P01278284 | Other | OR | RAILROAD MEDICARE |
| 161133 | Other | OR | NBMC GROUP MEDICAID |
| 1407812365 | Other | OR | NBMC GROUP NPI |
| 930635514 | Other | OR | NBMC GROUP TAX ID FOR BILLING |
| 500648004 | Medicaid | OR | |
| R0000WFBTV | Other | OR | NBMC-GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD158124 (Oregon) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD158124 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Area Hospital District | 2163331000 | 100 |
| North Bend Medical Center Inc | 5597677716 | 80 |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Bhavani Peddagovindu, MD 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 | Bhavani Peddagovindu, MD 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 |
Carol S Frank, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1750 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-0333 Fax: 541-269-7389 | |
Ellen H Chen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 | |
Kim L Slight, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501 | |
Daniel J Skarzynski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 | |
Dr. Oded Zion Shulsinger, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4542 | |
Dr. Joseph El Youssef, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 |