| Dr Brian D Wadley, MD | |
|
233 Ne 102nd Ave, Portland, OR 97220-4106 | |
| (503) 535-8325 | |
| (503) 535-8399 |
| Full Name | Dr Brian D Wadley |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 233 Ne 102nd Ave, Portland, 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 |
|---|---|---|---|
| 1124076732 | NPI | - | NPPES |
| 1Z7050 | Other | AZ | HEALTH NET |
| 792409 | Medicaid | AZ | |
| AZ0738560 | Other | AZ | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 31752 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willamette Valley Medical Center | Mcminnville, OR | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Santiam Hospital | Stayton, OR | Hospital |
| Grande Ronde Hospital | La grande, OR | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grande Ronde Hospital Inc | 0547170789 | 76 |
| Santiam Memorial Hospital | 6103729751 | 95 |
| Tualatin Imaging Pc | 8123011392 | 17 |
| Good Shepherd Health Care System | 9133033764 | 76 |
| Willamette Radiology Billing Services Llc | 9335681972 | 15 |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Santiam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302214 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
| Entity Name | Tualatin Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295807055 PECOS PAC ID: 8123011392 Enrollment ID: O20040405001080 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
| Entity Name | Willamette Radiology Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700647765 PECOS PAC ID: 9335681972 Enrollment ID: O20240611000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian D Wadley, MD 233 Ne 102nd Ave, Portland, OR 97220-4106 Ph: () - | Dr Brian D Wadley, MD 233 Ne 102nd Ave, Portland, OR 97220-4106 Ph: (503) 535-8325 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223 | |
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |