| Edward Pak, | |
| 1460 G St, Springfield, OR 97477-4112 | |
| (541) 726-4400 | |
| Not Available | 
| Full Name | Edward Pak | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1460 G 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 | 
|---|---|---|---|
| 1194353920 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD219369 (Oregon) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Doctors Emergency Room Corp Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749 | 
| Entity Name | Cep America Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edward Pak, 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 Ph: (661) 326-2168 | Edward Pak, 1460 G St, Springfield, OR 97477-4112 Ph: (541) 726-4400 | 
| Kevin Matthew Allan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-344-8757 | |
| Jeremy Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-7300 | |
| Benjamin J Bronicel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4400 | |
| Dr. Kevin Joseph Schoen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4400 | |
| Patrick Kelly, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-7300 | |
| Brian Hoyt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4510 Fax: 541-747-9764 | |
| Morgan Paula Ricci, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4400 |