| Christoffer E Poulsen, DO | |
|
1255 Hilyard St, Eugene, OR 97401-3718 | |
| (541) 686-7300 | |
| Not Available |
| Full Name | Christoffer E Poulsen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 1255 Hilyard St, Eugene, 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 |
|---|---|---|---|
| 1427251396 | NPI | - | NPPES |
| 36117103 | Other | IL | BCBS |
| P00428110 | Other | IL | RAILROAD |
| 036117103 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036117103 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | DO28664 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
| 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 |
|---|---|---|
| Southern Coos Health District | 1951219310 | 18 |
| Eugene Emergency Physicians Pc | 2264330448 | 29 |
| Entity Name | Eugene Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831133677 PECOS PAC ID: 2264330448 Enrollment ID: O20031226000011 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20040120000329 |
| Entity Name | Albany General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
| Entity Name | Southern Coos Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588684484 PECOS PAC ID: 1951219310 Enrollment ID: O20040526000542 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20061104000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Christoffer E Poulsen, DO Po Box 4078, Portland, OR 97208-4078 Ph: () - | Christoffer E Poulsen, DO 1255 Hilyard St, Eugene, OR 97401-3718 Ph: (541) 686-7300 |
Dr. William Miller, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Thomas Seddon, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Dr. Philip Johnson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Dr. Richard Kozak, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Dr. Brad Anderson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Keith D Sumey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1858 Fircrest Dr, Eugene, OR 97403 Phone: 616-881-9555 Fax: 616-881-9555 | |
Dr. Tod Hayes, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 |