| Dr Mack K Bandler, MD | |
| 
					842 E Main St, Medford, OR 97504-7134  | |
| (541) 773-2493 | |
| (541) 779-3027 | 
| Full Name | Dr Mack K Bandler | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 842 E Main St, Medford, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609830199 | NPI | - | NPPES | 
| 184556 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD14862 (Oregon) | Primary | 
| Entity Name | Bend Memorial Clinic Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022  | 
| Entity Name | Medford Radiological Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20100604000059  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mack K Bandler, MD 842 E Main St, Medford, OR 97504-7134 Ph: (541) 773-2493  | Dr Mack K Bandler, MD 842 E Main St, Medford, OR 97504-7134 Ph: (541) 773-2493  | 
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  |