| Dr William Wallace Webster, MD | |
|
1900 Woodland Drive, Coos Bay, OR 97420-0000 | |
| (541) 267-5151 | |
| (541) 266-4580 |
| Full Name | Dr William Wallace Webster |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 23 Years |
| Location | 1900 Woodland Drive, Coos Bay, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528166287 | NPI | - | NPPES |
| CB3544 | Other | OR | TRAV RR MEDICARE GROUP PTAN |
| 274244 | Medicaid | OR | |
| 1407812365 | Other | OR | MEDICARE GROUP NPI NUMBER |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| P00628020 | Other | OR | TRAV RR MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | A40097 (California) | Secondary |
| 207P00000X | Emergency Medicine | A40097 (California) | Secondary |
| 207Y00000X | Otolaryngology | MD27455 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Entity Name | W. Wallace Webster, Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407470214 PECOS PAC ID: 9133549116 Enrollment ID: O20201013000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Wallace Webster, MD 1900 Woodland Drive, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 | Dr William Wallace Webster, MD 1900 Woodland Drive, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 |
Dr. Steven George Shimotakahara, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4513 | |
Mr. Charles Gerard Hurbis, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2695 N 17th St, Coos Bay, OR 97420 Phone: 541-266-0900 Fax: 541-266-0800 | |
Jennifer Ruth Christenson, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 407-425-5203 |