| Fridolin Hoesly, MD | |
|
2747 Ne Conners Ave, Bend, OR 97701 | |
| (541) 382-5712 | |
| Not Available |
| Full Name | Fridolin Hoesly |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 2747 Ne Conners Ave, Bend, 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 |
|---|---|---|---|
| 1285860288 | NPI | - | NPPES |
| 005622300 | Medicaid | FL | |
| 500677859 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD168020 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Derm - Blackhart Pllc | 1153609813 | 100 |
| Entity Name | Mountain West Derm - Blackhart Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447764741 PECOS PAC ID: 1153609813 Enrollment ID: O20171219002516 |
| Mailing Address | Practice Location Address |
|---|---|
| Fridolin Hoesly, MD 2747 Ne Conners Ave, Bend, OR 97701 Ph: (904) 953-2000 | Fridolin Hoesly, MD 2747 Ne Conners Ave, Bend, OR 97701 Ph: (541) 382-5712 |
Dr. Oliver Jayme Wisco, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: Dermatology Health Spcecialist, 1693 Sw Chandler Ave Suite 250, Bend, OR 97702 Phone: 541-382-8819 | |
Dr. Stephanie Alice Trautman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2747 Ne Conners Ave, Bend, OR 97701 Phone: 541-382-5712 | |
Dr. Andrew O Jensen, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Dr. James Michael Hoesly, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-322-3504 | |
Mrs. Jill M Olinger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-2811 | |
Ms. Kristin Jayne Neuhaus, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2747 Ne Conners Ave, Bend, OR 97701 Phone: 541-382-5712 |