| Dr Kevin Andrew Modeste, MD | |
|
Peacehealth Surgical Specialities, 3355 Riverbend Dr., Suite 300, Springfield, OR 97477 | |
| (541) 222-8333 | |
| (541) 222-8320 |
| Full Name | Dr Kevin Andrew Modeste |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 28 Years |
| Location | Peacehealth Surgical Specialities, Springfield, 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 |
|---|---|---|---|
| 1942447032 | NPI | - | NPPES |
| 500648430 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | MD157808 (Oregon) | Secondary |
| 208600000X | Surgery | MD157808 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth Medical Group | 9032023270 | 247 |
| Entity Name | Peacehealth Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
| Entity Name | Northwest Surgical Specialists Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770516544 PECOS PAC ID: 9032009493 Enrollment ID: O20040318000836 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740223874 PECOS PAC ID: 8527016039 Enrollment ID: O20050111000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Andrew Modeste, MD Peacehealth Surgical Specialities, 3355 Riverbend Dr., Suite 300, Springfield, OR 97477 Ph: (541) 222-8333 | Dr Kevin Andrew Modeste, MD Peacehealth Surgical Specialities, 3355 Riverbend Dr., Suite 300, Springfield, OR 97477 Ph: (541) 222-8333 |
Dr. Ji-ming Joshua Yune, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3355 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-2720 Fax: 541-222-8386 | |
Dr. Jose Viramontes Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1460 G St Ste 100, Springfield, OR 97477 Phone: 541-988-6330 Fax: 541-988-6340 | |
Dr. Snell Fontus, MD Surgery Medicare: Medicare Enrolled Practice Location: 1881 2nd St, Ste 201, Springfield, OR 97477 Phone: 541-684-4716 Fax: 541-683-9790 | |
Dr. Paul S. Koh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3311 Riverbend Drive, Springfield, OR 97477 Phone: 541-222-2866 Fax: 541-222-2843 | |
Daniel A Cusati, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Peacehealth Surgical Specialties, 3355 Riverbend Dr., Suite 300, Springfield, OR 97477 Phone: 541-222-8333 Fax: 541-222-8320 | |
Dr. Warren M Glover, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3311 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3531 Fax: 541-222-2843 | |
Winnie W. Henderson, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3783 International Ct Ste 200, Springfield, OR 97477 Phone: 541-735-3778 Fax: 541-735-3772 |