| Dr John Mark Mhoon, MD | |
|
2973 12th Street Se, Salem, OR 97302-6162 | |
| (503) 561-7100 | |
| (503) 561-7124 |
| Full Name | Dr John Mark Mhoon |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 30 Years |
| Location | 2973 12th Street Se, Salem, 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 |
|---|---|---|---|
| 1013077510 | NPI | - | NPPES |
| 288383 | Medicaid | OR | |
| MD22170 | Other | OR | OR LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD22170 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Hospital | Salem, OR | Hospital |
| West Valley Hospital | Dallas, OR | Hospital |
| Samaritan North Lincoln Hospital | Lincoln city, OR | Hospital |
| Santiam Hospital | Stayton, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salem Health | 8628986668 | 435 |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Entity Name | Willamette Urology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467512996 PECOS PAC ID: 3173519642 Enrollment ID: O20040421000703 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Mark Mhoon, MD 2973 12th Street Se, Salem, OR 97302-6162 Ph: (503) 561-7100 | Dr John Mark Mhoon, MD 2973 12th Street Se, Salem, OR 97302-6162 Ph: (503) 561-7100 |
Vitaly Layvant, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th St Se, Salem, OR 97302 Phone: 503-561-7100 | |
Philip A. Rosen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th Street Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 | |
Timothy Wrea Fleming, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5975 | |
Bradley W Warner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th Street Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 | |
Dr. David T Elmgren, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2973 12th Street Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 | |
Erika Lynn Mccarthy, PA Urology Medicare: Accepting Medicare Assignments Practice Location: 2973 12th St Se, Salem, OR 97302 Phone: 503-561-7100 Fax: 503-561-7124 |