| Mr Michael Scott Passo, MD | |
|
2445 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8862 | |
| (503) 472-4688 | |
| (503) 474-4731 |
| Full Name | Mr Michael Scott Passo |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 2445 Ne Cumulus Ave Ste A, 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 |
|---|---|---|---|
| 1588677256 | NPI | - | NPPES |
| 269696 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 01029526A (Indiana) | Secondary |
| 207W00000X | Ophthalmology | M013286 (Oregon) | Primary |
| Entity Name | Mcminnville Eye Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992819445 PECOS PAC ID: 4587646955 Enrollment ID: O20040607000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Scott Passo, MD 2445 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8862 Ph: (503) 472-4688 | Mr Michael Scott Passo, MD 2445 Ne Cumulus Ave Ste A, Mcminnville, OR 97128-8862 Ph: (503) 472-4688 |
Mr. Nicholas Peter Grinich, Ophthalmology Medicare: Medicare Enrolled Practice Location: 235 Se Norton Ln Ste A, Mcminnville, OR 97128 Phone: 503-472-4688 Fax: 503-474-4731 | |
Mr. David Jc Hayes, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 235 Se Norton Ln Ste A, Mcminnville, OR 97128 Phone: 503-472-4688 Fax: 503-474-4731 | |
Gary Ryan Berger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 235 Se Norton Ln, Suite A, Mcminnville, OR 97128 Phone: 503-472-4688 | |
Cole N Gross, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2445 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-4688 | |
Laura Christine Burke, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2445 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 034-724-6885 |