| Dr Derek J Mccammon, DPM | |
|
24076 Se Stark St Ste 110, Gresham, OR 97030-3374 | |
| (503) 661-5388 | |
| (503) 666-9393 |
| Full Name | Dr Derek J Mccammon |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 29 Years |
| Location | 24076 Se Stark St Ste 110, Gresham, 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 |
|---|---|---|---|
| 1760463889 | NPI | - | NPPES |
| 235116 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP00307 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Orthopedic And Sports Medicine Clinic Llp | 9335123868 | 5 |
| Provider Name | Advantage Orthopedic And Sports Medicine Clinic Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598798365 PECOS PAC ID: 9335123868 Enrollment ID: O20040614001211 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek J Mccammon, DPM 24076 Se Stark St Ste 110, Gresham, OR 97030-3374 Ph: (503) 661-5388 | Dr Derek J Mccammon, DPM 24076 Se Stark St Ste 110, Gresham, OR 97030-3374 Ph: (503) 661-5388 |
Dr. Timothy James Mineo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 110, Gresham, OR 97030 Phone: 503-661-5388 | |
Dr. Marshal Terrance Kennedy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2775 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-667-7789 Fax: 503-667-2032 | |
Dr. Grayden Woodruff King, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr, Ste 203, Gresham, OR 97030 Phone: 503-667-6600 Fax: 503-667-6608 | |
Jamie Mieras, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St, Ste 265, Gresham, OR 97030 Phone: 503-413-2005 Fax: 503-413-3699 | |
Gresham Podiatry Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr, Suite #203, Gresham, OR 97030 Phone: 503-667-6600 Fax: 503-667-6608 |