| Matthew C Fedor, MD | |
|
610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | |
| (503) 814-4440 | |
| (503) 814-4444 |
| Full Name | Matthew C Fedor |
|---|---|
| Gender | Male |
| Speciality | Cardiac Electrophysiology |
| Experience | 34 Years |
| Location | 610 Hawthorne Ave Se Ste 110, Salem, 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 |
|---|---|---|---|
| 1235225624 | NPI | - | NPPES |
| 274652 | Medicaid | OR | |
| R152647 | Other | OR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | MD27542 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Up Health System - Marquette | Marquette, MI | Hospital |
| Up Health System Portage | Hancock, MI | Hospital |
| Baraga County Memorial Hospital | L' anse, MI | Hospital |
| Schoolcraft Memorial Hospital | Manistique, MI | Hospital |
| Helen Newberry Joy Hospital | Newberry, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dlp Marquette Physician Practices Inc | 9931359601 | 193 |
| Entity Name | Dlp Marquette Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew C Fedor, MD Po Box 886, Salem, OR 97308-0886 Ph: (503) 814-4440 | Matthew C Fedor, MD 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 Ph: (503) 814-4440 |
Brett W Mikeska, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 Fax: 503-561-8560 |
Dr. Aneet Jyot Deo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 Fax: 503-561-8560 |
Ashley Taylor Ott, Internal Medicine Medicare: Medicare Enrolled Practice Location: 875 Oak St Se # C3010, Salem, OR 97301 Phone: 503-399-7520 |
Joseph J Thaler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5050 Skyline Village Loop S, Salem, OR 97306 Phone: 503-391-1110 Fax: 503-370-4237 |
Dr. Krystyna Antonina Pekalska, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Lancaster Dr Ne, Salem, OR 97305 Phone: 503-361-5400 |
Dr. Falguny I Bhavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Ste 3010, Salem, OR 97301 Phone: 503-399-7520 Fax: 503-362-7344 |
Dr. Douglas Michael Carney, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 Liberty St Se Ste 140, Salem, OR 97302 Phone: 503-540-0304 Fax: 503-540-0305 |