| Dr David Lee Street, MD | |
|
520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | |
| (541) 282-6559 | |
| (541) 282-6710 |
| Full Name | Dr David Lee Street |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 520 Medical Center 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 |
|---|---|---|---|
| 1326129545 | NPI | - | NPPES |
| 02WCGFLB | Other | OR | MEDICARE |
| 212720 | Medicaid | OR | |
| 4898006 | Other | OR | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD15510 (Oregon) | Secondary |
| 208600000X | Surgery | MD15510 (Oregon) | Primary |
| Entity Name | Oregon Surgical Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427139732 PECOS PAC ID: 4789589540 Enrollment ID: O20031204000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Lee Street, MD 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 Ph: (541) 282-6559 | Dr David Lee Street, MD 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 Ph: (541) 282-6559 |
Erika Margaret Bennett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
Dr. Mark Adalbert Eaton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr, Ste 300, Medford, OR 97504 Phone: 541-282-6559 Fax: 541-282-6710 | |
Patrick Joseph Phelan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Dr, Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
Sandeep Singh Jhajj, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 940 Royal Ave Unit 100, Medford, OR 97504 Phone: 541-732-8388 | |
Wie-peng Kuo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504 Phone: 541-732-7874 Fax: 541-732-7875 | |
Dr. Mark C Mason, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504 Phone: 541-732-7874 Fax: 541-732-7875 |