| Peter Stach, DPM | |
|
4770 Sw Watson Ave, Beaverton, OR 97005-0511 | |
| (503) 805-4720 | |
| (971) 223-0969 |
| Full Name | Peter Stach |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 4770 Sw Watson Ave, Beaverton, 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 |
|---|---|---|---|
| 1366965675 | NPI | - | NPPES |
| 500798722 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DP198085 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bridge City Foot And Ankle Llc | 3577975762 | 2 |
| Provider Name | Bridge City Foot & Ankle Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669074316 PECOS PAC ID: 3577975762 Enrollment ID: O20201211001474 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Stach, DPM 4770 Sw Watson Ave, Beaverton, OR 97005-0511 Ph: (503) 805-4720 | Peter Stach, DPM 4770 Sw Watson Ave, Beaverton, OR 97005-0511 Ph: (503) 805-4720 |
Ray A Mcclanahan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9600 Sw Nimbus Ave, Ste 160, Beaverton, OR 97008 Phone: 503-243-2699 Fax: 503-243-2698 | |
Dr. Peter Duy Pham, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17200 Nw Corridor Ct Ste 108, Beaverton, OR 97006 Phone: 503-292-9252 | |
Kenneth K.s. Mah, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 14355 Sw Allen Blvd, Suite 120, Beaverton, OR 97005 Phone: 503-643-1737 Fax: 503-643-4926 | |
Bridge City Foot & Ankle Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 4770 Sw Watson Ave, Beaverton, OR 97005 Phone: 503-427-8967 Fax: 971-223-0096 | |
Brian Guy Orahood, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17200 Nw Corridor Ct Ste 108, Beaverton, OR 97006 Phone: 503-292-9252 Fax: 503-992-6780 | |
Dr. Candace Lynn Gregory, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14795 Sw Murray Scholls Dr Ste 121, Beaverton, OR 97007 Phone: 503-597-5647 Fax: 503-597-5640 |