| Dr Douglas Gordon Crane, MD | |
|
209 N Central Blvd, Coquille, OR 97423-1274 | |
| (541) 329-0144 | |
| (541) 329-0143 |
| Full Name | Dr Douglas Gordon Crane |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 209 N Central Blvd, Coquille, 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 |
|---|---|---|---|
| 1689650673 | NPI | - | NPPES |
| CD8723 | Other | OR | RR MEDICARE GROUP NUMBER |
| 0577260001 | Other | OR | DMERC NUMBER |
| R0000WFBTV | Other | OR | GROUP PIN NUMBER |
| 288488 | Medicaid | OR | |
| 110199508 | Other | OR | RR MEDICARE PTAN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD22263 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital Home Health Agency | North bend, OR | Home health agency |
| Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
| Bay Area Hospital | Coos bay, OR | Hospital |
| Coquille Valley Hospital District | Coquille, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South West Internal Medicine Llc | 1052691987 | 4 |
| Southern Coos Health District | 1951219310 | 18 |
| Entity Name | Southern Coos Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588684484 PECOS PAC ID: 1951219310 Enrollment ID: O20040526000542 |
| Entity Name | South West Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497203194 PECOS PAC ID: 1052691987 Enrollment ID: O20170313002271 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Gordon Crane, MD Po Box 194, Coquille, OR 97423-0194 Ph: (541) 329-0144 | Dr Douglas Gordon Crane, MD 209 N Central Blvd, Coquille, OR 97423-1274 Ph: (541) 329-0144 |
Adharsh Ravindran, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 | |
Dr. Paavani Atluri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3101 Fax: 541-396-5891 |