| Patrick Beauregard Vondippe, MD | |
|
1775 Thompson Rd, Coos Bay, OR 97420-2125 | |
| (541) 269-8085 | |
| Not Available |
| Full Name | Patrick Beauregard Vondippe |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1775 Thompson Rd, Coos Bay, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043326432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 7775 (Nevada) | Secondary |
| 207P00000X | Emergency Medicine | MD27158 (Oregon) | Primary |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Beauregard Vondippe, MD 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (541) 269-8085 | Patrick Beauregard Vondippe, MD 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (541) 269-8085 |
Brett L Davis, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-294-8086 | |
William Paul Aurich, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8027 Fax: 541-269-8024 | |
Douglas Paul Orsel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8027 Fax: 541-269-8024 | |
Bradley Dean Veldstra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8027 Fax: 541-269-8024 | |
Maria Tamborski, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8050 | |
Rohit Nanda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8027 Fax: 541-269-8024 |