| 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 | May be. He may accept the Medicare-approved amount; you may be billed for 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 |
| Entity Name | Baystate Medical Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
| 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 |