| Dr Holger Hennig, MD | |
|
3333 Riverbend Dr, Springfield, OR 97477-8800 | |
| (541) 222-3154 | |
| (541) 222-3359 |
| Full Name | Dr Holger Hennig |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 3333 Riverbend Dr, Springfield, 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 |
|---|---|---|---|
| 1619961398 | NPI | - | NPPES |
| 500624959 | Medicaid | OR | |
| 1619961398 | Medicaid | WA | |
| D3869 | Medicaid | UT | |
| 47390261201001 | Other | UT | BXBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD60726694 (Washington) | Secondary |
| 207L00000X | Anesthesiology | MD151763 (Oregon) | Primary |
| 207L00000X | Anesthesiology | 4739026-1205 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Mckenzie-willamette Medical Center | Springfield, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Anesthesia Physicians Pc | 3274420138 | 81 |
| Entity Name | Oregon Anesthesiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20031226000058 |
| Entity Name | Northwest Anesthesia Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770531196 PECOS PAC ID: 3274420138 Enrollment ID: O20040304000014 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Entity Name | Oregon Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679936579 PECOS PAC ID: 4183902695 Enrollment ID: O20161102002967 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Holger Hennig, MD Po Box 7247, Springfield, OR 97475-0011 Ph: (541) 686-9551 | Dr Holger Hennig, MD 3333 Riverbend Dr, Springfield, OR 97477-8800 Ph: (541) 222-3154 |
Albert R Cho, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-686-7300 | |
Amanda Ellen Koonce, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-681-5124 | |
Mark N Bodily, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 | |
Ximeng Yang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 Fax: 541-222-3359 | |
Jeffrey Rae Sterritt, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-686-9551 | |
Daniel R Hagengruber, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 | |
Brian P Jones, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 |