| Dr Nicolaas Willem De Wette, MD | |
|
265 N Broadway St, Portland, OR 97227-1800 | |
| (503) 280-1223 | |
| (503) 528-5252 |
| Full Name | Dr Nicolaas Willem De Wette |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 38 Years |
| Location | 265 N Broadway St, Portland, 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 |
|---|---|---|---|
| 1689677692 | NPI | - | NPPES |
| 1016363 | Medicaid | WA | |
| 287436 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD23344 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sky Lakes Medical Center | Klamath falls, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Cancer Specialists Pc | 8426943838 | 65 |
| Sky Lakes Medical Center Inc | 1052204096 | 170 |
| Northwest Cancer Specialists Pc | 8426943838 | 65 |
| Entity Name | Northwest Cancer Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407828114 PECOS PAC ID: 8426943838 Enrollment ID: O20040217000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicolaas Willem De Wette, MD 265 N Broadway St, Portland, OR 97227-1800 Ph: (503) 280-1223 | Dr Nicolaas Willem De Wette, MD 265 N Broadway St, Portland, OR 97227-1800 Ph: (503) 280-1223 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223 | |
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |