| Jordan Marie Raymer, MD | |
|
330 9th St, Florence, OR 97439-9470 | |
| (541) 997-2820 | |
| (541) 997-7197 |
| Full Name | Jordan Marie Raymer |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 330 9th St, Florence, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003071580 | NPI | - | NPPES |
| 500659458 | Medicaid | OR | |
| 2094441 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 128828 (Wisconsin) | Secondary |
| 208600000X | Surgery | MD161898 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peace Harbor Medical Center | Florence, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 4587573001 | 25 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578552402 PECOS PAC ID: 4587573001 Enrollment ID: O20061104000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Marie Raymer, MD 847 Ne 19th Ave Ste 300, Portland, OR 97232-2686 Ph: (503) 963-2801 | Jordan Marie Raymer, MD 330 9th St, Florence, OR 97439-9470 Ph: (541) 997-2820 |
William T. Day, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 330 9th St, Florence, OR 97439 Phone: 541-997-2820 Fax: 541-902-7533 | |
David Y Park, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 9th St, Florence, OR 97439 Phone: 541-902-6140 Fax: 541-902-7533 | |
Dr. Paul R Stauffer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 9th St, Florence, OR 97439 Phone: 541-997-2820 Fax: 541-997-7197 |