| Southern Oregon Foot & Ankle, Llc | |
|
1904 E Barnett Rd, Medford, OR 97504-8262 | |
| (541) 776-3338 | |
| (541) 776-4979 |
| Full Name | Southern Oregon Foot & Ankle, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 1904 E Barnett Rd, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891980546 | NPI | - | NPPES |
| 243148 | Medicaid | OR | |
| 891269000 | Other | OR | BLUE CROSS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Primary |
| Provider Name | Evan C Merrill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528166485 PECOS PAC ID: 4082603147 Enrollment ID: I20071004000253 |
| Provider Name | Adam Gerber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780029231 PECOS PAC ID: 7517194806 Enrollment ID: I20160607000122 |
| Provider Name | Devin Gardner Dimond |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134521750 PECOS PAC ID: 6305193749 Enrollment ID: I20200827001411 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oregon Foot & Ankle, Llc 1904 E Barnett Rd, Medford, OR 97504-8262 Ph: (541) 776-3338 | Southern Oregon Foot & Ankle, Llc 1904 E Barnett Rd, Medford, OR 97504-8262 Ph: (541) 776-3338 |
Dr. Heather Aileen Holdermann, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 490 Murphy Rd, Medford, OR 97504 Phone: 541-779-5227 Fax: 541-779-1938 | |
Devin Dimond, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1904 E Barnett Rd, Medford, OR 97504 Phone: 541-776-3338 Fax: 541-776-4979 | |
Dr. Ricky Edward Mcclure, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 713 Golf View Drive, Medford, OR 97504 Phone: 541-770-1225 Fax: 541-770-1245 | |
Dpmbeckmannnror Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 835 Crater Lake Ave, Medford, OR 97504 Phone: 541-773-7717 | |
Rogue Valley Foot Clinic P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2655 Siskiyou Blvd, Medford, OR 97504 Phone: 541-773-3338 Fax: 541-772-9526 | |
Dr. Lawrence F Helton, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 761 Golf View Dr, Ste A, Medford, OR 97504 Phone: 541-779-5263 Fax: 541-779-0555 | |
Evan Chard Merrill, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1904 E Barnett Rd, Medford, OR 97504 Phone: 541-776-3338 Fax: 541-776-4979 |