| Dr Cameron J Evans, MD | |
|
700 Lincoln St Ste 100, Kelso, WA 98626-1062 | |
| (360) 425-5131 | |
| (360) 425-5509 |
| Full Name | Dr Cameron J Evans |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 700 Lincoln St Ste 100, Kelso, Washington |
| 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 |
|---|---|---|---|
| 1477733574 | NPI | - | NPPES |
| 1477733574 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD61582833 (Washington) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 6351865-8905 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Curry General Hospital | Gold beach, OR | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Peace Harbor Medical Center | Florence, OR | Hospital |
| Peacehealth Cottage Grove Community Medical Center | Cottage grove, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovative Medical Imaging Pllc | 1951711050 | 20 |
| Radiology Associates Pc | 2567364847 | 23 |
| Oregon Imaging Centers Llc | 7416859749 | 25 |
| Radiology Associates Pc | 2567364847 | 23 |
| Oregon Imaging Centers Llc | 7416859749 | 25 |
| Entity Name | Innovative Medical Imaging Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962015776 PECOS PAC ID: 1951711050 Enrollment ID: O20201030001557 |
| Entity Name | Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720018393 PECOS PAC ID: 2567364847 Enrollment ID: O20240130001089 |
| Entity Name | Oregon Imaging Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241581 PECOS PAC ID: 7416859749 Enrollment ID: O20240220001607 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cameron J Evans, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Dr Cameron J Evans, MD 700 Lincoln St Ste 100, Kelso, WA 98626-1062 Ph: (360) 425-5131 |
Dr. Michael J Pawlik, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lincoln St Ste 100, Kelso, WA 98626 Phone: 360-425-5131 | |
Dr. Stanley Michael Hicks, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Lincoln St, Suite 100, Kelso, WA 98626 Phone: 360-425-5131 | |
Dr. Robert Eugene Ehrlich, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Lincoln St, Suite 100, Kelso, WA 98626 Phone: 360-425-5131 Fax: 360-425-5509 | |
Nicole Francoise Bolender, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 Lincoln St, Suite 100, Kelso, WA 98626 Phone: 360-425-5131 Fax: 360-425-5509 | |
Mr. Zachariah Kramer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lincoln St Ste 100, Longview Radiologists, Kelso, WA 98626 Phone: 360-425-5131 |