| Keith Allen Haugen, MD | |
|
1210 W Fairview St, Colfax, WA 99111-9552 | |
| (509) 397-4717 | |
| Not Available |
| Full Name | Keith Allen Haugen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 1210 W Fairview St, Colfax, Washington |
| 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 |
|---|---|---|---|
| 1104806959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00042430 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Silverton Medical Center | Silverton, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silverton Health | 8921901877 | 125 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Allen Haugen, MD 1210 W Fairview St, Colfax, WA 99111-9552 Ph: (509) 397-4717 | Keith Allen Haugen, MD 1210 W Fairview St, Colfax, WA 99111-9552 Ph: (509) 397-4717 |
Dr. William Kimball Mellor, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 | |
Zachary Milcawich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 Fax: 509-397-3501 | |
Elizabeth Breanna Evangelista, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1200 W Fairview St, Colfax, WA 99111 Phone: 509-397-3435 | |
Sarah L Fielding, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1200 W Fairview St, Colfax, WA 99111 Phone: 509-397-3435 | |
Anthony W.. Lundberg, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 | |
Dr. Brent Logan Conrad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 Fax: 509-397-3501 |