| Brock W Millet, MD | |
|
790 E 5th St, Coquille, OR 97423-1755 | |
| (541) 396-7295 | |
| (541) 396-7295 |
| Full Name | Brock W Millet |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 790 E 5th St, Coquille, 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 |
|---|---|---|---|
| 1265758973 | NPI | - | NPPES |
| 161133 | Other | OR | GROUP MEDICAID NORTH BEND MEDICAL CENTER |
| R0000WFBTV | Other | OR | GROUP MEDICARE NORTH BEND MEDICAL CENTER |
| 500656979 | Medicaid | OR | |
| P0125299 | Other | OR | RAILROAD MEDICARE-OREGON |
| 930635514 | Other | OR | GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER |
| 1407812365 | Other | OR | GROUP NPI NORTH BEND MEDICAL CENTER |
| MD162167 | Other | OR | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD162167 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital Home Health Agency | North bend, OR | Home health agency |
| South Coast Hospice & Palliative Care Services, In | Coos bay, OR | Hospice |
| Pacific Home Health & Hospice | Coos bay, OR | Hospice |
| Bay Area Hospital | Coos bay, OR | Hospital |
| Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
| Coquille Valley Hospital District | Coquille, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20040420000530 |
| Entity Name | Daiya Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200309000992 |
| Mailing Address | Practice Location Address |
|---|---|
| Brock W Millet, MD 790 E 5th St, Coquille, OR 97423-1755 Ph: (541) 396-7295 | Brock W Millet, MD 790 E 5th St, Coquille, OR 97423-1755 Ph: (541) 396-7295 |
German Sierra Ferrer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 | |
Dr. Nancy Keller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 Fax: 541-396-5891 | |
Megan M Holland, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 Fax: 541-396-5891 | |
Dr. John William Brazer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 Fax: 541-396-5222 | |
Dr. Roger Cecil Willis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-7295 | |
Dr. Patrick Edwards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 Fax: 806-828-5824 |