| Dr James E Mathis, MD | |
|
710 Sunset Dr Ste F, La Grande, OR 97850-1200 | |
| (541) 663-3100 | |
| (541) 975-5135 |
| Full Name | Dr James E Mathis |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 28 Years |
| Location | 710 Sunset Dr Ste F, La Grande, 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 |
|---|---|---|---|
| 1225033350 | NPI | - | NPPES |
| 158829501 | Medicaid | TX | |
| 500836043 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD219220 (Oregon) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | L3745 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Island city, OR | Home health agency |
| Grande Ronde Hospital | La grande, OR | Hospital |
| St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
| Wallowa Memorial Hospital | Enterprise, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grande Ronde Hospital Inc | 0547170789 | 76 |
| 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 | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James E Mathis, MD Po Box 3290, La Grande, OR 97850-7290 Ph: (541) 963-8421 | Dr James E Mathis, MD 710 Sunset Dr Ste F, La Grande, OR 97850-1200 Ph: (541) 663-3100 |
Gregg S Densmore, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, Ste F, La Grande, OR 97850 Phone: 541-963-8578 Fax: 541-963-8932 | |
Donald O. Warren, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 | |
John B Reid Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 | |
James R Kopp, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1902 4th St Ste 3, La Grande, OR 97850 Phone: 541-963-9843 Fax: 541-963-8746 | |
Benjamin Olson, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 |