| Dr Craig Thomas Gillis, DO | |
|
4103 Mercantile Dr, Lake Oswego, OR 97035 | |
| (503) 850-9940 | |
| (503) 850-6709 |
| Full Name | Dr Craig Thomas Gillis |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 14 Years |
| Location | 4103 Mercantile Dr, Lake Oswego, 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 |
|---|---|---|---|
| 1861755126 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Orthopaedics, Llp | 4789725607 | 18 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255429338 PECOS PAC ID: 7315856010 Enrollment ID: O20061104000324 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20061104000573 |
| Entity Name | Summit Orthopaedics, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427200021 PECOS PAC ID: 4789725607 Enrollment ID: O20100113000850 |
| Entity Name | Craig T Gillis DO PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740842467 PECOS PAC ID: 2062842388 Enrollment ID: O20200428000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig Thomas Gillis, DO 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 Ph: (503) 850-9940 | Dr Craig Thomas Gillis, DO 4103 Mercantile Dr, Lake Oswego, OR 97035 Ph: (503) 850-9940 |
Stephen Fuller, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1055 |
Ms. Marilyn Louise Yodlowski, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659 |
Dr. Derek Edward Lamprecht, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17355 Lower Boones Ferry Rd, Suite 100a, Lake Oswego, OR 97035 Phone: 503-224-8399 Fax: 503-224-5661 |
Dr. Dominic Patrick Patillo, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17355 Lower Boones Ferry Rd, Ste 100a, Lake Oswego, OR 97035 Phone: 503-256-5866 Fax: 503-254-0656 |
Charles Justin Petit, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17355 Lower Boones Ferry Rd, #100a, Lake Oswego, OR 97035 Phone: 503-224-8399 Fax: 503-224-5661 |
Dr. Michael Raymond Marble, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5226 Dawn Ave, Lake Oswego, OR 97035 Phone: 503-620-2933 Fax: 503-620-8652 |
Stephen J Wallace, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4250 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 |