| Dr Richard Kozak, MD | |
|
1255 Hilyard St, Eugene, OR 97401-3718 | |
| (503) 686-7300 | |
| Not Available |
| Full Name | Dr Richard Kozak |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1255 Hilyard St, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225077993 | NPI | - | NPPES |
| XPY189201 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD19651 (Oregon) | Primary |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Kozak, MD Po Box 4078, Portland, OR 97208-4078 Ph: (888) 633-0086 | Dr Richard Kozak, MD 1255 Hilyard St, Eugene, OR 97401-3718 Ph: (503) 686-7300 |
Dr. William Miller, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Thomas Seddon, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Dr. Philip Johnson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Dr. Brad Anderson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 | |
Keith D Sumey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1858 Fircrest Dr, Eugene, OR 97403 Phone: 616-881-9555 Fax: 616-881-9555 | |
Dr. Tod Hayes, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 503-686-7300 |