| Michael Capek, MD | |
|
3303 S Bond Ave, Portland, OR 97239-4501 | |
| (503) 418-0990 | |
| (503) 494-4982 |
| Full Name | Michael Capek |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 45 Years |
| Location | 3303 S Bond Ave, Portland, 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 |
|---|---|---|---|
| 1376586453 | NPI | - | NPPES |
| 1113596 | Other | OSNS | |
| 287771 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD00028990 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD14907 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eisenhower Medical Center | Rancho mirage, CA | Hospital |
| Adventist Health Hanford | Hanford, CA | Hospital |
| Adventist Health Reedley | Reedley, CA | Hospital |
| Adventist Health Tulare | Tulare, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palm Desert Radiology Medical Group Inc | 0749173789 | 121 |
| Reedley Community Hospital | 0941460984 | 38 |
| Adventist Health Tulare | 4385988757 | 42 |
| Hanford Community Hospital | 7416868377 | 56 |
| Entity Name | Palm Desert Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079868 PECOS PAC ID: 0749173789 Enrollment ID: O20040204000599 |
| Entity Name | Hanford Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538141627 PECOS PAC ID: 7416868377 Enrollment ID: O20040325000272 |
| Entity Name | Adventist Health Tulare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801366711 PECOS PAC ID: 4385988757 Enrollment ID: O20201221001163 |
| Entity Name | Reedley Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336167550 PECOS PAC ID: 0941460984 Enrollment ID: O20201224000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Capek, MD 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 418-0990 | Michael Capek, MD 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 418-0990 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223 | |
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |