| Dr Timothy John Fernstrom, DO | |
|
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
| (503) 494-9000 | |
| Not Available |
| Full Name | Dr Timothy John Fernstrom |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 21 Years |
| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457552168 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaweah Delta Medical Center | Visalia, CA | Hospital |
| Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
| St Mary Medical Center | Apple valley, CA | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Coliseum Northside Hospital | Macon, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Intensivists Of Washington Pllc | 5395018808 | 74 |
| Access Telecare Pllc | 7810204831 | 331 |
| Critical Care Physicians Of Pennsylvania Pc | 2466610498 | 42 |
| Critical Care Physician Of New York Pc | 4688825839 | 35 |
| Sound Physicians Intensivists Of Georgia Pc | 5193138634 | 23 |
| Inpatient Specialists Of California Pc | 3476864448 | 308 |
| Critical Care Physicians Of Illinois Llc | 7012179294 | 39 |
| Hospitalist Medicine Physicians Of Delaware, Pa | 2062679772 | 29 |
| Sound Physicians Intensivists Of South Carolina Llc | 4385079060 | 4 |
| Critical Care Physicians Of Illinois Llc | 7012179294 | 39 |
| Hospitalist Medicine Physicians Of Montana - Missoula Pc | 4688050347 | 9 |
| Hospitalist Medicine Physicians Of Ohio - Fairfield Professional Cor | 1456706886 | 12 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Access Telecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20190719001365 |
| Entity Name | Access Telecare California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861959959 PECOS PAC ID: 8325373525 Enrollment ID: O20201216001815 |
| Entity Name | Sound Physicians Intensivists Of Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528582699 PECOS PAC ID: 5395018808 Enrollment ID: O20211101000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy John Fernstrom, DO 1768 Business Center Dr Ste 100, Reston, VA 20190-5359 Ph: (800) 762-9244 | Dr Timothy John Fernstrom, DO 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-9000 |
Salona Shrestha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392 | |
Dr. Emmanuel Trungtoan Tavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901 | |
Ginevra Lois Liptan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808 | |
Donald Richard Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949 | |
Dr. Victor Nguyen Pham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 | |
Richa Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1849 Nw Kearney St Ste 200, Portland, OR 97209 Phone: 971-229-4545 Fax: 503-966-2427 | |
Reem Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562 |