| Dr Sam Scott Sorrentino, MD | |
| 200 Beatty, Medford, OR 97501-5811 | |
| (541) 476-2373 | |
| Not Available | 
| Full Name | Dr Sam Scott Sorrentino | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 200 Beatty, 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 | 
|---|---|---|---|
| 1154940401 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD219688 (Oregon) | Primary | 
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 328669 (New York) | Secondary | 
| Entity Name | Psychiatry Faculty Practice, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881084820 PECOS PAC ID: 9234458530 Enrollment ID: O20150508000699 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Sam Scott Sorrentino, MD 1215 Sw G St., Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Dr Sam Scott Sorrentino, MD 200 Beatty, Medford, OR 97501-5811 Ph: (541) 476-2373 | 
| John H Rennick, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-476-2373 | |
| Linda Young, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 140 South Holly Street, Medford, OR 97501 Phone: 541-774-8200 Fax: 541-774-7964 | |
| Oscar Adolfo Sanchez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Medford, OR 97504 Phone: 541-789-5710 Fax: 541-789-5713 | |
| Dr. William Brendon Haynal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Drive, Suite 300 B, Medford, OR 97504 Phone: 541-789-8100 Fax: 541-789-8101 | |
| Michael Steven Narus, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
| Dimitris Gerothanassis, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-891-7000 |