| Shashi K Srinivasan, MD | |
|
2441 Grear St Ne, Salem, OR 97301-2749 | |
| (503) 588-0469 | |
| (402) 559-9840 |
| Full Name | Shashi K Srinivasan |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 34 Years |
| Location | 2441 Grear St Ne, 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 |
|---|---|---|---|
| 1992755813 | NPI | - | NPPES |
| 47078557521 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21603 (Nebraska) | Secondary |
| 207N00000X | Dermatology | MD26977 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Clinic Pc | 3577559012 | 13 |
| Entity Name | Dermatology Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831150846 PECOS PAC ID: 3577559012 Enrollment ID: O20040421001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Shashi K Srinivasan, MD 2441 Grear St Ne, Salem, OR 97301-2749 Ph: (503) 588-0469 | Shashi K Srinivasan, MD 2441 Grear St Ne, Salem, OR 97301-2749 Ph: (503) 588-0469 |
Thomas V Kruse, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1410 Commercial St Se, Salem, OR 97302 Phone: 503-370-7364 Fax: 503-375-3643 | |
Dr. Russell John Young, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
Michael E Goodenberger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2441 Grear St Ne, Salem, OR 97301 Phone: 503-588-0469 | |
Lacey Roybal, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 866-599-3376 | |
Erik Kokkonen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2441 Grear St Ne, Salem, OR 97301 Phone: 503-588-0469 Fax: 503-566-2063 | |
Paarth Dodia, DO Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
William Lear, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 |