| Kourosh Mehrazar, MD | |
|
2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 | |
| (541) 673-0611 | |
| Not Available |
| Full Name | Kourosh Mehrazar |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 7 Years |
| Location | 2700 Nw Stewart Pkwy, Roseburg, 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 |
|---|---|---|---|
| 1972168219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD216738 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Mercy Medical Center | Roseburg, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Emanuel Hospital And Health Center | 4587573639 | 233 |
| Centennial Medical Group Inc | 6103982962 | 60 |
| Entity Name | Umpqua Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396751772 PECOS PAC ID: 0345233078 Enrollment ID: O20040511000463 |
| Entity Name | Centennial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Kourosh Mehrazar, MD 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 Ph: (541) 673-0611 | Kourosh Mehrazar, MD 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 Ph: (541) 673-0611 |
Jerry D. Boggs, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1741 West Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322 | |
Scott Douglas Mendelson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471 Phone: 541-440-6390 Fax: 541-440-6392 | |
Dr. Deric V Ravsten, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 621 W Madrone St Ste 330, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 877-284-2783 | |
Dr. Mark Allan Ramirez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1741 W. Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322 | |
Mia S Schreiner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1741 W. Harvard Ave, Roseburg, OR 97471 Phone: 541-440-5320 Fax: 541-440-5322 | |
Peter James Davidson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 Phone: 541-440-3532 Fax: 541-440-3554 | |
Dr. James R Young, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 201 Medical Loop, Suite 180, Roseburg, OR 97471 Phone: 541-440-3532 Fax: 541-440-3554 |