| David Nerseth Irvine, MD | |
|
1809 Maple St, Forest Grove, OR 97116-1939 | |
| (503) 357-2173 | |
| (503) 357-2318 |
| Full Name | David Nerseth Irvine |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 48 Years |
| Location | 1809 Maple St, Forest Grove, 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 |
|---|---|---|---|
| 1366483109 | NPI | - | NPPES |
| 6751HU | Other | WA | BSWA |
| 8240871 | Medicaid | WA | |
| 8946238 | Other | WA | VCR |
| 059253 | Medicaid | OR | |
| 0216865 | Other | WA | LIWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD15519 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jerold Phelps Community Hospital | Garberville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Humboldt Community Healthcare District | 8820982879 | 10 |
| Entity Name | Southern Humboldt Community Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003819376 PECOS PAC ID: 8820982879 Enrollment ID: O20100106000632 |
| Mailing Address | Practice Location Address |
|---|---|
| David Nerseth Irvine, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | David Nerseth Irvine, MD 1809 Maple St, Forest Grove, OR 97116-1939 Ph: (503) 357-2173 |
Dr. Stephen Patrick Moon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288 Fax: 503-359-4742 | |
Dr. Kimthuy Tuan Le, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-357-2172 | |
John Joseph Kaib, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-357-2173 Fax: 503-357-2318 | |
Miroslav Kavur, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-357-2318 | |
Robert James Eichner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-357-2318 |