| Shane Weare, DO | |
|
940 E 5th St, Coquille, OR 97423-1699 | |
| (541) 396-3101 | |
| Not Available |
| Full Name | Shane Weare |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 940 E 5th St, Coquille, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588018048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO205777 (Oregon) | Primary |
| Entity Name | Dlp Conemaugh Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Entity Name | Nason Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306236609 PECOS PAC ID: 5890012728 Enrollment ID: O20150402000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Weare, DO 940 E 5th St, Coquille, OR 97423-1666 Ph: Not Available | Shane Weare, DO 940 E 5th St, Coquille, OR 97423-1699 Ph: (541) 396-3101 |
Christina Lucile Wilson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 940 E 5th St, Coquille, OR 97423 Phone: 541-396-3101 |
Dr. Sangeeta Poudel, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 940 E 5th St, Coquille, OR 97423 Phone: 541-396-3101 |