| Dr Snell Fontus, MD | |
|
1881 2nd St, Ste 201, Springfield, OR 97477-2145 | |
| (541) 684-4716 | |
| (541) 683-9790 |
| Full Name | Dr Snell Fontus |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1881 2nd St, Springfield, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073639712 | NPI | - | NPPES |
| 1485633 | Medicaid | CA | |
| 086108 | Medicaid | OR | |
| 1681306 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD20286 (Oregon) | Primary |
| 2086S0127X | Surgery - Trauma Surgery | MD20286 (Oregon) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD20286 (Oregon) | Secondary |
| Entity Name | Healogics Specialty Physicians Of Oregon Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841664752 PECOS PAC ID: 1254637846 Enrollment ID: O20160308001352 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Snell Fontus, MD Po Box 10882, Eugene, OR 97440-2882 Ph: (541) 684-4716 | Dr Snell Fontus, MD 1881 2nd St, Ste 201, Springfield, OR 97477-2145 Ph: (541) 684-4716 |
Dr. Ji-ming Joshua Yune, MD Surgery Medicare: Medicare Enrolled Practice Location: 3355 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-2720 Fax: 541-222-8386 | |
Dr. Jose Viramontes Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1460 G St Ste 100, Springfield, OR 97477 Phone: 541-988-6330 Fax: 541-988-6340 | |
Dr. Paul S. Koh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3311 Riverbend Drive, Springfield, OR 97477 Phone: 541-222-2866 Fax: 541-222-2843 | |
Daniel A Cusati, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Peacehealth Surgical Specialties, 3355 Riverbend Dr., Suite 300, Springfield, OR 97477 Phone: 541-222-8333 Fax: 541-222-8320 | |
Dr. Warren M Glover, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3311 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3531 Fax: 541-222-2843 | |
Winnie W. Henderson, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3783 International Ct Ste 200, Springfield, OR 97477 Phone: 541-735-3778 Fax: 541-735-3772 |