| Dr Daniel Mac Dowell Wayman, MD | |
|
555 Black Oak Dr, Suite 210, Medford, OR 97504-8447 | |
| (541) 734-3540 | |
| (541) 734-3597 |
| Full Name | Dr Daniel Mac Dowell Wayman |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
| Location | 555 Black Oak Dr, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952476350 | NPI | - | NPPES |
| 931274301 | Other | OR | TAX ID |
| 027792 | Medicaid | OR | |
| MD17390 | Other | OR | MEDICAL LIC OR |
| 4004301-01 | Other | OR | BLUE CROSS |
| G62052 | Other | CA | MEDICAL LIC CALIF |
| XPY124720 | Other | CA | MEDICAL ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | MD17390 (Oregon) | Primary |
| Entity Name | Southern Oregon Ear Nose & Throat P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821274317 PECOS PAC ID: 5799758058 Enrollment ID: O20040816000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Mac Dowell Wayman, MD 555 Black Oak Dr, Suite 210, Medford, OR 97504-8447 Ph: (541) 734-3540 | Dr Daniel Mac Dowell Wayman, MD 555 Black Oak Dr, Suite 210, Medford, OR 97504-8447 Ph: (541) 734-3540 |
Dr. Cory Aden-wansbury, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6151 Dark Hollow Rd, Medford, OR 97501 Phone: 541-512-8814 | |
Sean J Traynor, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1170 Royal Ave, Medford, OR 97504 Phone: 541-779-7331 Fax: 541-779-3522 | |
Jonathan H Lee, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1170 Royal Ave, Medford, OR 97504 Phone: 541-779-7331 | |
David W Chambers, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1170 Royal Ave, Medford, OR 97504 Phone: 541-779-7331 Fax: 541-779-3522 | |
Mark A Miller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1170 Royal Ave, Medford, OR 97504 Phone: 541-779-7331 Fax: 541-779-3522 | |
Dr. Joseph Capt Clarke, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1170 Royal Ave, Medford, OR 97504 Phone: 541-779-7331 Fax: 541-779-3552 | |
Elizabeth H Steele, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1170 Royal Ave, Medford, OR 97504 Phone: 541-779-7331 Fax: 541-779-3522 |