| Dr Faye E Ameredes, DO | |
|
2460 Nw Stewart Parkway, Suite 104, Roseburg, OR 97471-1516 | |
| (541) 677-4463 | |
| (541) 677-3379 |
| Full Name | Dr Faye E Ameredes |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 2460 Nw Stewart Parkway, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811066822 | NPI | - | NPPES |
| 288143 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | DO22718 (Oregon) | Primary |
| Entity Name | Centennial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Faye E Ameredes, DO 2801 Nw Mercy Dr Ste 340, Roseburg, OR 97471-2348 Ph: (541) 677-4319 | Dr Faye E Ameredes, DO 2460 Nw Stewart Parkway, Suite 104, Roseburg, OR 97471-1516 Ph: (541) 677-4463 |
Indu Bala Mital, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 104 Wood Duck Ln, Roseburg, OR 97471 Phone: 248-535-2663 | |
Dr. Donald E Wonderly, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522 | |
Mary E Powell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Linda L Sewell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2564 Nw Edenbower Blvd, Ste 134, Roseburg, OR 97471 Phone: 541-492-2350 Fax: 541-492-2346 | |
Elizabeth C Oler, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Dr. Alyssa Susan Emo, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 |