Dr Jeffrey David Swick, MD | |
6190 Rice Creek Dr Ne, Fridley, MN 55432-5227 | |
(503) 797-6356 | |
(503) 292-0346 |
Full Name | Dr Jeffrey David Swick |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 11 Years |
Location | 6190 Rice Creek Dr Ne, Fridley, Minnesota |
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 |
---|---|---|---|
1154762078 | NPI | - | NPPES |
500761493 | Medicaid | OR | |
65617 | Other | MN | MINNESOTA MD PHYSICIAN AND SURGEON LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 192192 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Providence Seaside Hospital | Seaside, OR | Hospital |
Providence Newberg Medical Center | Newberg, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trg, Llc | 8820283617 | 34 |
Trg, Llc | 8820283617 | 34 |
Entity Name | Minnesota Diagnostic Imaging Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922009471 PECOS PAC ID: 5890681209 Enrollment ID: O20080227000847 |
Entity Name | Trg, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467771121 PECOS PAC ID: 8820283617 Enrollment ID: O20201005002777 |
Entity Name | Bridgeport Medical Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922253525 PECOS PAC ID: 3173670411 Enrollment ID: O20240228003910 |
Entity Name | Center For Medical Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275505448 PECOS PAC ID: 9335191543 Enrollment ID: O20240305002154 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey David Swick, MD Po Box 25180, Portland, OR 97298-0180 Ph: (503) 797-6356 | Dr Jeffrey David Swick, MD 6190 Rice Creek Dr Ne, Fridley, MN 55432-5227 Ph: (503) 797-6356 |
Jenna Borkenhagen, Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-784-1182 Fax: 763-784-1637 | |
Jeffrey S Herman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 550 Osborne Rd Ne, Unity Radiation Therapy Ctr, Fridley, MN 55432 Phone: 763-784-1182 Fax: 763-784-1637 |