| Dr Paul Louis Dimodica, DO | |
|
3043 Ne 28th St, Lincoln City, OR 97367-4518 | |
| (541) 994-3661 | |
| Not Available |
| Full Name | Dr Paul Louis Dimodica |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 3043 Ne 28th St, Lincoln City, 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 |
|---|---|---|---|
| 1225065576 | NPI | - | NPPES |
| 00AX86240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A8624 (California) | Secondary |
| 207P00000X | Emergency Medicine | DO24715 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ocean Beach Hospital | Ilwaco, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | South Coast Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861432627 PECOS PAC ID: 1355254269 Enrollment ID: O20040218000998 |
| Entity Name | Central Coast In-patient Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609096882 PECOS PAC ID: 8325137714 Enrollment ID: O20071207000854 |
| Entity Name | Santa Ynez River Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396210597 PECOS PAC ID: 7911241229 Enrollment ID: O20181127001998 |
| Entity Name | Lompoc Hospitalist Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891335717 PECOS PAC ID: 8426470832 Enrollment ID: O20200611002650 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Louis Dimodica, DO Po Box 1194, Corvallis, OR 97339-1194 Ph: () - | Dr Paul Louis Dimodica, DO 3043 Ne 28th St, Lincoln City, OR 97367-4518 Ph: (541) 994-3661 |
Zachary Yarnall Dembitsky, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-996-7399 Fax: 541-996-7007 | |
Dr. Lesley Jill Ogden, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-994-3661 | |
Stephanie Duckett, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-994-3661 | |
Dr. Raj B. Baman, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-996-7118 Fax: 541-996-7378 | |
Dr. Jeffrey H Mcdonald, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-994-3661 | |
Dr. Darell Dean Orton, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 825 Nw Highway 101, Suite A, Lincoln City, OR 97367 Phone: 541-996-7480 Fax: 541-574-6439 |