| Dr Jonathon Lex Park, MD | |
|
110 10th St Se, Bandon, OR 97411-9157 | |
| (541) 347-2313 | |
| (541) 347-2015 |
| Full Name | Dr Jonathon Lex Park |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 110 10th St Se, Bandon, 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 |
|---|---|---|---|
| 1588649289 | NPI | - | NPPES |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| 1407812365 | Other | OR | NBMC GROUP NPI NUMBER |
| 93063551 | Other | OR | GROUP TAX ID NUMBER |
| CD8723 | Other | OR | RR MEDICARE GROUP NUMBER |
| 080182358 | Other | OR | RR MEDICARE PTAN NUMBER |
| 286887 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD23699 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital Home Health Agency | North bend, OR | Home health agency |
| South Coast Hospice & Palliative Care Services, In | Coos bay, OR | Hospice |
| Pacific Home Health & Hospice | Coos bay, OR | Hospice |
| Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
| Bay Area Hospital | Coos bay, OR | Hospital |
| Curry General Hospital | Gold beach, OR | Hospital |
| Avamere Rehabilitation Of Coos Bay | Coos bay, OR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Bend Medical Center Inc | 5597677716 | 80 |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathon Lex Park, MD 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 | Dr Jonathon Lex Park, MD 110 10th St Se, Bandon, OR 97411-9157 Ph: (541) 347-2313 |
Mrs. Janet M Bates, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 6th St Sw, Bandon, OR 97411 Phone: 541-297-1974 Fax: 512-342-9949 | |
Dr. Henry H. Holmes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 1st St Se, Suite 110, Bandon, OR 97411 Phone: 541-347-2529 Fax: 541-347-9196 | |
Emily Anne Reinig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529 | |
Gail K Mcclave, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Elmira Ave Se, Suite103, Bandon, OR 97411 Phone: 541-347-2111 Fax: 541-347-1212 |