| Jeffrey K Bert, MD | |
|
2699 N 17th St, Coos Bay, OR 97420-2134 | |
| (541) 266-3600 | |
| (541) 269-0708 |
| Full Name | Jeffrey K Bert |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2699 N 17th St, Coos Bay, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871540252 | NPI | - | NPPES |
| C105001 | Other | PACIFIC SOURCE | |
| 240218 | Medicaid | OR | |
| 200025535 | Other | RAILROAD MEDICARE | |
| 050922009 | Other | BLUE CROSS | |
| 97420A010 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD09764 (Oregon) | Primary |
| Entity Name | South Coast Orthopaedic Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245284751 PECOS PAC ID: 2062408131 Enrollment ID: O20040423000168 |
| Entity Name | Coquille Valley Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376374967 PECOS PAC ID: 2567902182 Enrollment ID: O20240910003766 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey K Bert, MD 2699 N 17th St, Coos Bay, OR 97420-2134 Ph: (541) 266-3600 | Jeffrey K Bert, MD 2699 N 17th St, Coos Bay, OR 97420-2134 Ph: (541) 266-3600 |
Michael Vincent Mclean, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Jason Scott Bell, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3635 | |
Shaun M Hobson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Garry T Vallier, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Alan L Whitney, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Dr. Randall W Jennings, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4515 | |
Dr. Harry Sirounian, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 |