| Lloyd Paul Wilson, MD | |
|
1200 Hilyard St Ste 410, Eugene, OR 97401-8158 | |
| (541) 681-8586 | |
| (541) 681-8587 |
| Full Name | Lloyd Paul Wilson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1200 Hilyard St Ste 410, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851316517 | NPI | - | NPPES |
| 8004138-01 | Other | OR | BCBS |
| 8296717 | Medicaid | WA | |
| MD5436R | Medicaid | AK | |
| 260828 | Medicaid | OR | |
| 8005089-09 | Other | OR | BCBS |
| MD5435R | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD11715 (Oregon) | Primary |
| Entity Name | Oregon Imaging Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241581 PECOS PAC ID: 7416859749 Enrollment ID: O20040126000581 |
| Entity Name | Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720018393 PECOS PAC ID: 2567364847 Enrollment ID: O20040126000875 |
| Entity Name | Renew Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760142095 PECOS PAC ID: 7517344849 Enrollment ID: O20220506000961 |
| Entity Name | Innovative Medical Imaging Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962015776 PECOS PAC ID: 1951711050 Enrollment ID: O20231213003232 |
| Mailing Address | Practice Location Address |
|---|---|
| Lloyd Paul Wilson, MD Po Box 53, Eugene, OR 97440 Ph: (541) 687-7134 | Lloyd Paul Wilson, MD 1200 Hilyard St Ste 410, Eugene, OR 97401-8158 Ph: (541) 681-8586 |
Cathryn Chicola, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1255 Hilyard St, Eugene, OR 97401 Phone: 541-687-7134 Fax: 541-687-7135 | |
Matthew Ryan Tommack, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Country Club Rd, Eugene, OR 97401 Phone: 541-242-4162 Fax: 541-345-2358 | |
Rebecca Bittner, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 600 Country Club Rd, Eugene, OR 97401 Phone: 541-242-4384 | |
Dr. Brandon Roller, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St Ste 330, Eugene, OR 97401 Phone: 541-302-7771 Fax: 336-716-6415 | |
Marius Pakalniskis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St Ste 330, Eugene, OR 97401 Phone: 321-319-0982 | |
Jonathan T Sims, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St Ste 330, Eugene, OR 97401 Phone: 813-974-2538 | |
Dr. Julie B Gemmell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 520 Country Club Pkwy, Eugene, OR 97401 Phone: 541-683-5001 Fax: 541-683-1422 |