| Dr Ricardo Carlon, MD | |
|
2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | |
| (503) 472-6131 | |
| Not Available |
| Full Name | Dr Ricardo Carlon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2700 Se Stratus Ave, Mcminnville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194759902 | NPI | - | NPPES |
| 81441 | Other | WA | WA L & I |
| F11039 | Other | PROVIDENCE | |
| F11039 | Other | GROUP HEALTH | |
| XPY206321 | Medicaid | CA | |
| 070818 | Medicaid | OR | |
| 8378390 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 18114 (Oregon) | Primary |
| Entity Name | Emergency Medical Associates Of Mcminnville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629022876 PECOS PAC ID: 3870585920 Enrollment ID: O20040331000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ricardo Carlon, MD Po Box 2065, Seattle, WA 98111-2065 Ph: (888) 828-3195 | Dr Ricardo Carlon, MD 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 Ph: (503) 472-6131 |
Dr. Mark Rose, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Helge R Berg, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Paul Daniel Dale, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 Ne 19th St, Mcminnville, OR 97128 Phone: 503-435-1077 | |
Dr. Francisco Arroyo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Thomas Cronin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-435-3551 | |
Dr. Janet Paquette, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 |