| Dr Edwin Yen Wang, MD | |
|
698 12th St Se Ste 145, Salem, OR 97301 | |
| (503) 588-2674 | |
| (503) 391-1200 |
| Full Name | Dr Edwin Yen Wang |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 698 12th St Se Ste 145, Salem, 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 |
|---|---|---|---|
| 1093779282 | NPI | - | NPPES |
| 241589 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 27734 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Willamette Valley Medical Center | Mcminnville, OR | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Grande Ronde Hospital | La grande, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grande Ronde Hospital Inc | 0547170789 | 76 |
| Tualatin Imaging Pc | 8123011392 | 17 |
| Good Shepherd Health Care System | 9133033764 | 76 |
| Willamette Radiology Billing Services Llc | 9335681972 | 15 |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Tualatin Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295807055 PECOS PAC ID: 8123011392 Enrollment ID: O20040405001080 |
| Entity Name | Willamette Radiology Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700647765 PECOS PAC ID: 9335681972 Enrollment ID: O20240611000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edwin Yen Wang, MD 698 12th St Se Ste 145, Salem, OR 97301-4076 Ph: (503) 588-2674 | Dr Edwin Yen Wang, MD 698 12th St Se Ste 145, Salem, OR 97301 Ph: (503) 588-2674 |
Michael Smolin, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 | |
Matthew Y Kang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Suite 1080, Salem, OR 97301 Phone: 503-561-5294 Fax: 503-561-4789 | |
Gary Jones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 | |
Dr. Jason Cody Hedge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 | |
Thomas Cullen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 | |
David Harrison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 |