| Michael L Wynn I, DO | |
|
1655 Liberty St Se, Salem, OR 97302-4347 | |
| (503) 581-7959 | |
| (503) 362-4114 |
| Full Name | Michael L Wynn I |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1655 Liberty St Se, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750332516 | NPI | - | NPPES |
| 203505 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | DO15695 (Oregon) | Primary |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Wynn I, DO 1655 Liberty St Se, Salem, OR 97302-4347 Ph: (503) 581-7959 | Michael L Wynn I, DO 1655 Liberty St Se, Salem, OR 97302-4347 Ph: (503) 581-7959 |
Dr. Benton John Davidson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1174 Cornucopia St Nw, Suite 240, Salem, OR 97304 Phone: 503-385-1664 Fax: 503-991-5768 | |
Dr. Chandra Mannyam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-7554 Fax: 601-984-5503 | |
Kyle Bowers, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 | |
Dr. Jessica Merrifield Schemm, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2600 Center St Ne, Oregon State Hospital, Salem, OR 97301 Phone: 503-945-2800 | |
Dr. Thye Matthew Schuyler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Salem Health Sleep Center, 875 Oak St Se, Bldg C, Suite 3060, Salem, OR 97301 Phone: 503-561-5170 | |
Dr. Olukayode Olugbemiga, Ayo Ogunrinde, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2400 Lancaster Dr Ne, Salem, OR 97305 Phone: 503-571-2727 Fax: 503-571-9443 | |
Dr. Susan Marie South, PSY D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 627 Winter St Ne, Salem, OR 97301 Phone: 541-730-5669 Fax: 800-764-6136 |