| Derek Flack, DO | |
|
2841 Avenue G, White City, OR 97503-3024 | |
| (309) 672-4977 | |
| Not Available |
| Full Name | Derek Flack |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 2841 Avenue G, White City, 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 |
|---|---|---|---|
| 1679923098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO191255 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shands Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 765 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487814752 PECOS PAC ID: 9133025869 Enrollment ID: O20050414000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Flack, DO 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 Ph: () - | Derek Flack, DO 2841 Avenue G, White City, OR 97503-3024 Ph: (309) 672-4977 |
Dr. Stacey J Porterfield, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8385 Division Rd, White City, OR 97503 Phone: 541-826-5853 Fax: 541-826-5843 | |
Dr. Leonard Mark Wilk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2841 Avenue G Suite, Suite 100, White City, OR 97503 Phone: 541-826-5252 Fax: 541-789-5785 | |
Sarah T Mcelroy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 Fax: 541-830-3502 | |
Dr. Ralph William Bergstrom Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. William B Allen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 | |
Dr. Lucinda M Kolo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 Fax: 541-830-3535 |