| Michael Brent Vessely, MD | |
|
2700 Se Stratus Ave, Suite 403, Mcminnville, OR 97128-6255 | |
| (503) 435-4520 | |
| Not Available |
| Full Name | Michael Brent Vessely |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2700 Se Stratus Ave, Mcminnville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831260678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD 18646 (Oregon) | Primary |
| Entity Name | Willamette Valley Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Brent Vessely, MD 2700 Se Stratus Ave, Suite 403, Mcminnville, OR 97128-6255 Ph: (503) 435-4520 | Michael Brent Vessely, MD 2700 Se Stratus Ave, Suite 403, Mcminnville, OR 97128-6255 Ph: (503) 435-4520 |
Derek D. Rains, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Suite 303, Mcminnville, OR 97128 Phone: 503-435-4520 Fax: 503-474-9430 | |
Dr. Mark Kiernan Thomas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave Unit 303, Mcminnville, OR 97128 Phone: 503-435-4520 | |
George Zakaib, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Ste 403, Mcminnville, OR 97128 Phone: 503-435-4520 | |
Elizabeth Ackerman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 Se Baker St, Mcminnville, OR 97128 Phone: 503-472-0423 | |
Peter K Van Patten, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave Unit 303, Mcminnville, OR 97128 Phone: 503-435-4520 Fax: 503-474-9430 | |
Christopher A. Blake, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 355 Se Baker St, Mcminnville, OR 97128 Phone: 503-472-0423 Fax: 503-472-4325 |