| Dr Kenneth Haugen, MD | |
|
1111 Crater Lake Ave, Medford, OR 97504-6241 | |
| (541) 732-7000 | |
| Not Available |
| Full Name | Dr Kenneth Haugen |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 32 Years |
| Location | 1111 Crater Lake Ave, Medford, 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 |
|---|---|---|---|
| 1710946959 | NPI | - | NPPES |
| 139446 | Medicaid | OR | |
| MD21714 | Other | OR | OREGON STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD21714 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Medford Medical Center | Medford, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Fairchild Medical Center | Yreka, CA | Hospital |
| Asante Ashland Community Hospital | Ashland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiation Oncology Group Consultants P C | 0446248405 | 6 |
| Entity Name | Sky Lakes Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
| Entity Name | Radiation Oncology Group Consultants P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396714515 PECOS PAC ID: 0446248405 Enrollment ID: O20040506000397 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Haugen, MD Po Box 8509, Medford, OR 97501-5009 Ph: (541) 772-0023 | Dr Kenneth Haugen, MD 1111 Crater Lake Ave, Medford, OR 97504-6241 Ph: (541) 732-7000 |
Weston Jay Caywood, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 | |
Dr. John Nathan Simmons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-773-3966 | |
Chad Michael Ringger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-773-3966 | |
Dr. Eric Mullen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 541-732-7000 | |
Dr. Kristina E Darlington, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-779-3027 | |
Dr. Roberta L Jackson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-779-3027 | |
Dr. Michael S Fennell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-779-3027 |