| Dr Derek Ted Earl, DO | |
|
600 Nw 11th St, Suite E-15, Hermiston, OR 97838-8602 | |
| (541) 567-6434 | |
| (541) 567-6019 |
| Full Name | Dr Derek Ted Earl |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 600 Nw 11th St, Hermiston, 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 |
|---|---|---|---|
| 1538241799 | NPI | - | NPPES |
| 298007 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001751 (Washington) | Secondary |
| 207Q00000X | Family Medicine | DO23298 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Shepherd Home Health | Hermiston, OR | Home health agency |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Praxis Health Pc | 8325941446 | 148 |
| Hermiston Medical Center P C | 9133028798 | 9 |
| Entity Name | Kadlec Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Ted Earl, DO 151 Ne 12th St, Hermiston, OR 97838-2598 Ph: (541) 567-3643 | Dr Derek Ted Earl, DO 600 Nw 11th St, Suite E-15, Hermiston, OR 97838-8602 Ph: (541) 567-6434 |
Dr. Stewart D Swena, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W Elm Ave Ste 110, Hermiston, OR 97838 Phone: 541-567-2995 Fax: 541-567-7720 | |
Dr. David B Shanley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M103, Hermiston, OR 97838 Phone: 541-667-3830 | |
Kan Yang, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 589 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-1717 Fax: 541-564-5170 | |
Dr. Jamie Elizabeth Robinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Nw 11th St Ste E37, Hermiston, OR 97838 Phone: 541-567-5305 Fax: 541-667-3831 | |
Dr. Guy Eugene Oltman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Nw 11th St, Suite E-15, Hermiston, OR 97838 Phone: 541-567-6434 Fax: 541-567-6019 | |
Dr. Milton James Johnson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 W Elm Ave Ste 110, Hermiston, OR 97838 Phone: 541-567-2995 Fax: 541-567-7720 | |
Dr. Deo Flaiz Fisher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Nw 11th St, Suite E-15, Hermiston, OR 97838 Phone: 541-567-6434 Fax: 541-567-6019 |