| Marta S Johnson-mitchell, DO | |
|
431 Ne Revere Ave Ste 200, Bend, OR 97701-4192 | |
| (541) 508-7973 | |
| (541) 508-7968 |
| Full Name | Marta S Johnson-mitchell |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 431 Ne Revere Ave Ste 200, Bend, 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 |
|---|---|---|---|
| 1356570055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 5101018239 (Michigan) | Secondary |
| 208800000X | Urology | 57247 (Minnesota) | Secondary |
| 208800000X | Urology | DO174428 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Blue Mountain Hospital | John day, OR | Hospital |
| Lake District Hospital | Lakeview, OR | Hospital |
| St Charles Prineville | Prineville, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rogue Valley Urology Pc | 2567435142 | 2 |
| Cascade Lakes Urology Llc | 4981128519 | 3 |
| Entity Name | Rogue Valley Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467421404 PECOS PAC ID: 2567435142 Enrollment ID: O20040813000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Marta S Johnson-mitchell, DO 711 Medford Ctr, Pmb 415, Medford, OR 97504 Ph: (541) 774-5808 | Marta S Johnson-mitchell, DO 431 Ne Revere Ave Ste 200, Bend, OR 97701-4192 Ph: (541) 508-7973 |
Dr. Matt S Ashley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701 Phone: 541-382-6447 Fax: 541-330-7413 | |
Dr. Daniel Levi Willis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701 Phone: 541-382-6447 | |
Andrew David Neeb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 431 Ne Revere Ave Ste 200, Bend, OR 97701 Phone: 541-508-7973 Fax: 541-508-7968 | |
Hagop Sarkissian, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701 Phone: 541-382-6447 | |
Dr. Meredith Rae Baker, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701 Phone: 541-382-6447 Fax: 541-330-7413 | |
Dr. Michel Adeodat Boileau, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701 Phone: 541-382-6447 Fax: 541-330-7413 |