| Marc A Zenoniani, MD | |
|
1185 South Elm St, Canby, OR 97013 | |
| (503) 723-4660 | |
| (503) 266-6649 |
| Full Name | Marc A Zenoniani |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 1185 South Elm St, Canby, 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 |
|---|---|---|---|
| 1801802392 | NPI | - | NPPES |
| 240159 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD26839 (Oregon) | Primary |
| 208000000X | Pediatrics | MD26839 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Sunnyside Medical Center | Clackamas, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1805 |
| Entity Name | Kaiser Foundation Health Plan of the Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc A Zenoniani, MD 6 Centerpointe Dr Ste 200, Lake Oswego, OR 97035-8660 Ph: (503) 797-2273 | Marc A Zenoniani, MD 1185 South Elm St, Canby, OR 97013 Ph: (503) 723-4660 |
Daniel L Hughson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1185 South Elm St, Canby, OR 97013 Phone: 503-723-4660 Fax: 503-266-6649 |
Dr. Melvin H Yamase, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1185 S Elm Street, Canby, OR 97013 Phone: 503-723-4660 Fax: 503-266-6649 |