| Nicholas Jonas, MD | |
|
940 E 5th St, Coquille, OR 97423-1699 | |
| (541) 396-3101 | |
| Not Available |
| Full Name | Nicholas Jonas |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 7 Years |
| Location | 940 E 5th St, Coquille, 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 |
|---|---|---|---|
| 1730679416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 70904 (Arizona) | Secondary |
| 208600000X | Surgery | MD224779 (Oregon) | Primary |
| 208600000X | Surgery | 290156 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner-university Medical Group | 7719899871 | 950 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Jonas, MD 2250 Hayes St, North Bend, OR 97459-1775 Ph: (763) 370-7749 | Nicholas Jonas, MD 940 E 5th St, Coquille, OR 97423-1699 Ph: (541) 396-3101 |
Dr. Terrence J Hall, M.D., PHD Surgery Medicare: Not Enrolled in Medicare Practice Location: 940 E 5th Street, Coquille, OR 97423 Phone: 541-396-3101 Fax: 541-396-1783 | |
Dr. Stanley C Pense, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 209 N Central Blvd, Coquille, OR 97423 Phone: 541-329-0144 Fax: 541-824-0460 | |
Mr. Glenn Laurence Levine, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 Fax: 541-396-5891 |