| Gail K Mcclave, MD | |
|
475 Elmira Ave Se, Suite103, Bandon, OR 97411-7405 | |
| (541) 347-2111 | |
| (541) 347-1212 |
| Full Name | Gail K Mcclave |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 475 Elmira Ave Se, Bandon, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902964125 | NPI | - | NPPES |
| 287386 | Medicaid | OR | |
| R13306 | Other | OR | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD23131 (Oregon) | Primary |
| 207R00000X | Internal Medicine | 188290 (Louisiana) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Gail K Mcclave, MD Po Box 393, Bandon, OR 97411-0393 Ph: (541) 347-2111 | Gail K Mcclave, MD 475 Elmira Ave Se, Suite103, Bandon, OR 97411-7405 Ph: (541) 347-2111 |
Mrs. Janet M Bates, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 6th St Sw, Bandon, OR 97411 Phone: 541-297-1974 Fax: 512-342-9949 | |
Dr. Henry H. Holmes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se, Suite 110, Bandon, OR 97411 Phone: 541-347-2529 Fax: 541-347-9196 | |
Emily Anne Reinig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529 | |
Dr. Jonathon Lex Park, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-2313 Fax: 541-347-2015 |