| Dr David Andrew Staneck, MD | |
|
12205 Sw Tualatin Rd Ste 100, Tualatin, OR 97062-7663 | |
| (503) 223-6223 | |
| (503) 223-3665 |
| Full Name | Dr David Andrew Staneck |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 23 Years |
| Location | 12205 Sw Tualatin Rd Ste 100, Tualatin, 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 |
|---|---|---|---|
| 1730181199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 169792 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willamette Valley Medical Center | Mcminnville, OR | Hospital |
| Providence Newberg Medical Center | Newberg, OR | Hospital |
| Samaritan North Lincoln Hospital | Lincoln city, OR | Hospital |
| Adventist Health Tillamook | Tillamook, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Urology Llc | 2668783770 | 13 |
| Entity Name | Northwest Urology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629461397 PECOS PAC ID: 2668783770 Enrollment ID: O20150616001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Andrew Staneck, MD 12205 Sw Tualatin Rd Ste 100, Tualatin, OR 97062-7663 Ph: (503) 223-6223 | Dr David Andrew Staneck, MD 12205 Sw Tualatin Rd Ste 100, Tualatin, OR 97062-7663 Ph: (503) 223-6223 |
Dr. Gregory A Cost, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave, Suite 235, Tualatin, OR 97062 Phone: 503-692-4820 Fax: 503-612-0793 | |
Dr. Michael Paul Gardner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062 Phone: 503-692-1200 Fax: 503-692-1220 |