| Dr Bryan D Yates, MD | |
|
621 W Madrone St, Roseburg, OR 97470-3090 | |
| (541) 672-2691 | |
| (833) 299-8415 |
| Full Name | Dr Bryan D Yates |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 621 W Madrone St, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548279102 | NPI | - | NPPES |
| 134013 | Medicaid | OR | |
| 500664323 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD21708 (Oregon) | Primary |
| Entity Name | Adapt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720010549 PECOS PAC ID: 4587662887 Enrollment ID: O20061121000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan D Yates, MD Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 672-2691 | Dr Bryan D Yates, MD 621 W Madrone St, Roseburg, OR 97470-3090 Ph: (541) 672-2691 |
Jerry D. Boggs, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1741 West Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322 | |
Scott Douglas Mendelson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471 Phone: 541-440-6390 Fax: 541-440-6392 | |
Dr. Deric V Ravsten, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 621 W Madrone St Ste 330, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 877-284-2783 | |
Dr. Mark Allan Ramirez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1741 W. Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322 | |
Mia S Schreiner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1741 W. Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322 | |
Peter James Davidson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 Phone: 541-440-3532 Fax: 541-440-3554 | |
Dr. James R Young, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Medical Loop, Suite 180, Roseburg, OR 97471 Phone: 541-440-3532 Fax: 541-440-3554 |