| Dr Kyle M Van De Graaff, MD | |
|
444 Nw Elks Dr, Corvallis, OR 97330-3745 | |
| (541) 754-1252 | |
| (541) 754-2772 |
| Full Name | Dr Kyle M Van De Graaff |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 28 Years |
| Location | 444 Nw Elks Dr, Corvallis, 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 |
|---|---|---|---|
| 1770577025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD152734 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Corvallis Clinic P C | 1456244540 | 90 |
| Entity Name | The Corvallis Clinic P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649227265 PECOS PAC ID: 1456244540 Enrollment ID: O20040203000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle M Van De Graaff, MD 444 Nw Elks Dr, Corvallis, OR 97330-3745 Ph: (541) 754-1252 | Dr Kyle M Van De Graaff, MD 444 Nw Elks Dr, Corvallis, OR 97330-3745 Ph: (541) 754-1252 |
Abigail Lee Haberman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 690 Nw Calloway Dr, Corvallis, OR 97330 Phone: 541-754-2757 Fax: 541-754-3584 | |
Jacob Boyd, DO Dermatology Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906 | |
Carrick Burns, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2430 Nw Professional Dr, Corvallis, OR 97330 Phone: 415-452-0180 | |
Dr. Adriana M. Brune, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2773 Nw 9th Street, Brune Dermatology, Llc, Corvallis, OR 97330 Phone: 541-230-1350 Fax: 541-207-3477 | |
Wallace H Knapp, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 444 Nw Elks Dr, Corvallis, OR 97330 Phone: 541-754-1150 |