| Scott Cruise, DO | |
|
890 Oak St Se Bldg A, Salem, OR 97301-3905 | |
| (855) 691-9890 | |
| Not Available |
| Full Name | Scott Cruise |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 890 Oak St Se Bldg A, Salem, 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 |
|---|---|---|---|
| 1265990139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO224309 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salem Emergency Physicians Service, Pc | 8628061124 | 27 |
| Entity Name | Salem Emergency Physicians Service, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063454395 PECOS PAC ID: 8628061124 Enrollment ID: O20040408000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Cruise, DO 200 Mullins Dr, Lebanon, OR 97355-3983 Ph: Not Available | Scott Cruise, DO 890 Oak St Se Bldg A, Salem, OR 97301-3905 Ph: (855) 691-9890 |
Jordan L Barnhart, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se, Building 'a', Salem, OR 97301 Phone: 503-814-1278 |
Jacob Vanderstarre, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301 Phone: 855-691-9890 |
Dr. Charles Wilson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634 |
Brian Murray Auld, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3621 Elderberry Dr S, Salem, OR 97302 Phone: 503-580-9228 |
Dr. Lazeni Koulibali, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634 |
Trevor Grant Phillips, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem Emergency Physicians C/o Ed - Salem Hospital 'a', Salem, OR 97301 Phone: 503-561-5634 |
Michael Barr, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5634 |