| Dr Timothy James Mineo, DPM | |
|
24076 Se Stark St, Suite 110, Gresham, OR 97030-3373 | |
| (503) 661-5388 | |
| Not Available |
| Full Name | Dr Timothy James Mineo |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 18 Years |
| Location | 24076 Se Stark St, 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 |
|---|---|---|---|
| 1275730459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP151976 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pearl Foot And Ankle Llc | 1759816366 | 3 |
| Provider Name | Brian M Bowen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093921975 PECOS PAC ID: 3375698640 Enrollment ID: I20090910000247 |
| Provider Name | Eastside Foot And Ankle |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669884003 PECOS PAC ID: 4284983016 Enrollment ID: O20180827003710 |
| Provider Name | Pearl Foot And Ankle Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346008711 PECOS PAC ID: 1759816366 Enrollment ID: O20241119004416 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy James Mineo, DPM 16890 Sw Ledgestone Dr, Beaverton, OR 97007-5189 Ph: () - | Dr Timothy James Mineo, DPM 24076 Se Stark St, Suite 110, Gresham, OR 97030-3373 Ph: (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. Derek J Mccammon, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St Ste 110, Gresham, OR 97030 Phone: 503-661-5388 Fax: 503-666-9393 | |
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 |