| Edward L Van Tassel, DO | |
|
2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1120 | |
| (541) 884-7746 | |
| (541) 884-0848 |
| Full Name | Edward L Van Tassel |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2200 Bryant Williams Drive, Klamath Falls, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093737199 | NPI | - | NPPES |
| P00464722 | Other | OR | RAIL ROAD MEDICARE |
| 213618 | Medicaid | OR | |
| XPY145960 | Other | CA | MEDI-CAL |
| P00419803 | Other | OR | RAIL ROAD MEDICARE |
| 20889454297601 | Other | OR | TRICARE |
| 820591000 | Other | OR | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | DO25890 (Oregon) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | DO25890 (Oregon) | Secondary |
| Entity Name | Sky Lakes Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
| Entity Name | Klamath Orthopedic Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811919913 PECOS PAC ID: 0244226561 Enrollment ID: O20040422000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L Van Tassel, DO 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1120 Ph: (541) 884-7746 | Edward L Van Tassel, DO 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1120 Ph: (541) 884-7746 |
Dr. Luke William Hosack, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601 Phone: 541-884-7746 | |
Dr. Fred F. Naraghi, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601 Phone: 541-884-7746 Fax: 541-274-5705 | |
Michael J Casey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601 Phone: 541-274-6733 Fax: 541-274-2006 | |
Kevin T Heaton, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601 Phone: 541-884-7746 Fax: 541-884-0848 | |
Karl C Wenner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601 Phone: 541-274-6733 Fax: 541-274-2006 | |
Karl R Knudsen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601 Phone: 541-884-7746 Fax: 541-884-0848 |