| Dr Ethan W Gaumond, MD | |
|
3600 Nw Samaritan Dr, Corvallis, OR 97330-5472 | |
| (541) 768-5111 | |
| Not Available |
| Full Name | Dr Ethan W Gaumond |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 26 Years |
| Location | 3600 Nw Samaritan Dr, Corvallis, 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 |
|---|---|---|---|
| 1487629184 | NPI | - | NPPES |
| 8034217 | Medicaid | WA | |
| 275295 | Medicaid | OR | |
| P00203043 | Other | OR | RR MEDICARE |
| 807297900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD25160 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Regional Medical Center | Corvallis, OR | Hospital |
| Highland Hospital | Rochester, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Hospital Corvallis | 1557270725 | 385 |
| U Of R Anesthesiology Group | 3476451105 | 336 |
| Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan W Gaumond, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Dr Ethan W Gaumond, MD 3600 Nw Samaritan Dr, Corvallis, OR 97330-5472 Ph: (541) 768-5111 |
Dr. Kevin Cuccaro, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Dr. Kevin J Tarrant, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
Dr. Diane M Krueger, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3509 Nw Samaritan Dr Ste 201, Corvallis, OR 97330 Phone: 541-768-4260 | |
Dr. Gregory Craft, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
Scott A Longfellow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
Kathleen Mae Hinds, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 710 Nw 11th St, Corvallis, OR 97330 Phone: 541-754-1507 | |
David Michael Mcgrath, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-757-5111 |