| Tom Lin, MD | |
|
145 Ne Broadway St, Myrtle Creek, OR 97457-9039 | |
| (541) 677-7200 | |
| (541) 229-3309 |
| Full Name | Tom Lin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 145 Ne Broadway St, Myrtle Creek, 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 |
|---|---|---|---|
| 1952569956 | NPI | - | NPPES |
| 500687806 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD172393 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare At Home | Eugene, OR | Home health agency |
| Healthy Living At Home - Salem | Mcminnville, OR | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Medical Homes, Llc | 0042100372 | 32 |
| Entity Name | Northwest Medical Homes, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114974946 PECOS PAC ID: 0042100372 Enrollment ID: O20040318001338 |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Lin, MD 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7350 | Tom Lin, MD 145 Ne Broadway St, Myrtle Creek, OR 97457-9039 Ph: (541) 677-7200 |
Dr. Jacqueline Marie Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Ne Broadway St, Myrtle Creek, OR 97457 Phone: 541-677-7200 Fax: 541-229-3309 | |
Mark Michael Herscher, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Ne Broadway, Myrtle Creek, OR 97457 Phone: 541-863-3146 Fax: 541-863-3226 |