| Michael John Marvinny, DO | |
|
280 Maple St, Ashland, OR 97520-1552 | |
| (541) 201-4000 | |
| Not Available |
| Full Name | Michael John Marvinny |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 280 Maple St, Ashland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164468534 | NPI | - | NPPES |
| 136209 | Other | OR | MEDICARE-TYPE UNSPECIFIED |
| P00400668 | Other | OR | RAIL ROAD MEDICARE |
| 005953 | Medicaid | OR | |
| 844477040 | Other | OR | BCBS-GRANTS PASS |
| 838366032 | Other | OR | BCBS-MCMINNVILLE |
| 858464039 | Other | OR | BCBS-SPRINGFIELD |
| 838334034 | Other | OR | BCBS-ROSEBURG |
| 858463034 | Other | OR | BCBS-MEDFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | O-1352 (Idaho) | Primary |
| 207R00000X | Internal Medicine | DO26701 (Oregon) | Secondary |
| Entity Name | Apogee Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558302174 PECOS PAC ID: 8820980188 Enrollment ID: O20040330000185 |
| Entity Name | Asante Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael John Marvinny, DO 280 Maple St, Ashland, OR 97520-1552 Ph: (541) 201-4000 | Michael John Marvinny, DO 280 Maple St, Ashland, OR 97520-1552 Ph: (541) 201-4000 |
Colin Dennis Fee, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 280 Maple St, Ashland, OR 97520 Phone: 704-996-0136 |