| Mr Andrew Joseph Conlu, MD | |
|
94220 4th St, Gold Beach, OR 97444-7756 | |
| (702) 813-1602 | |
| (702) 453-5741 |
| Full Name | Mr Andrew Joseph Conlu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 94220 4th St, Gold Beach, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528018447 | NPI | - | NPPES |
| 100502735 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6600 (Nevada) | Primary |
| Entity Name | Humboldt General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922152784 PECOS PAC ID: 5193709798 Enrollment ID: O20040614000195 |
| Entity Name | Humboldt General Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750498010 PECOS PAC ID: 5193709798 Enrollment ID: O20061104000361 |
| Entity Name | Andrew J Conlu Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427480102 PECOS PAC ID: 8820225790 Enrollment ID: O20131220001725 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Joseph Conlu, MD Po Box 230545, Las Vegas, NV 89105-0545 Ph: (702) 813-1602 | Mr Andrew Joseph Conlu, MD 94220 4th St, Gold Beach, OR 97444-7756 Ph: (702) 813-1602 |
Dr. Ati Urban Yates, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 94220 4th St, Gold Beach, OR 97444 Phone: 702-453-3799 Fax: 702-453-5741 | |
Paul Benjamin Bascom, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 94220 4th St, Gold Beach, OR 97444 Phone: 702-453-3799 Fax: 702-453-5741 | |
Noel C Pense, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 94220 4th St, Gold Beach, OR 97444 Phone: 702-453-3799 | |
Satyendra Giri, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 94220 4th St, Gold Beach, OR 97444 Phone: 541-247-3910 Fax: 541-247-3109 |