| Daniel Mark Minter, PA | |
|
2115 Ne Wyatt Ct Ste 201, Bend, OR 97701-7680 | |
| (541) 585-2400 | |
| Not Available |
| Full Name | Daniel Mark Minter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2115 Ne Wyatt Ct Ste 201, Bend, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750634218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA178695 (Oregon) | Primary |
| 363A00000X | Physician Assistant | 015987 (New York) | Secondary |
| Entity Name | Northwest Medical Specialist LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588674279 PECOS PAC ID: 3971562414 Enrollment ID: O20041008000861 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Mark Minter, PA 2115 Ne Wyatt Ct Ste 201, Suite 201, Bend, OR 97701-7680 Ph: (541) 585-2400 | Daniel Mark Minter, PA 2115 Ne Wyatt Ct Ste 201, Bend, OR 97701-7680 Ph: (541) 585-2400 |
David Berg Kirkpatrick, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1342 Ne Medical Center Dr Ste 101, Bend, OR 97701 Phone: 541-382-3344 Fax: 541-382-1681 |
Calli Elizabeth Rogowitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-4900 |
Christopher R Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2065 Ne Tucson Way Apt 110, Bend, OR 97701 Phone: 541-383-3005 Fax: 541-383-1883 |
Jean M Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-388-1636 Fax: 541-388-1719 |
Gregory R. Lang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 Fax: 541-706-2398 |
Hope Elizabeth Cline, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19393 Sw Laurelhurst Way, Bend, OR 97702 Phone: 717-823-0058 |
Dayna Dobson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-388-4333 Fax: 541-388-1719 |