Dr Joseph Louis Petrusek, MD, PC - Otolaryngology in La Grande, OR

Dr Joseph Louis Petrusek, MD, PC is a Otolaryngology physician based in La Grande, Oregon. Dr Joseph Louis Petrusek is licensed to practice in Oregon (license number MD09444) and his current practice location is 710 Sunset Dr, Ste. D, La Grande, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 963-8643.

NPI number for Dr Joseph Louis Petrusek is 1346297793 and his current mailing address is Po Box 1123, La Grande, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346297793.

Contact Information

Dr Joseph Louis Petrusek, MD, PC
710 Sunset Dr, Ste. D,
La Grande, OR 97850-1200
(541) 963-8643
(541) 963-5845



Physician's Profile

Full NameDr Joseph Louis Petrusek
GenderMale
SpecialityOtolaryngology
Location710 Sunset Dr, La Grande, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346297793
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 09/24/2020

Medical Identifiers

Medical identifiers for Dr Joseph Louis Petrusek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346297793NPI-NPPES
009100000OtherORBLUE CROSS PROVIDER NUMBE
041913293OtherORRAILROAD MEDICARE NUMBER
161026MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MD09444 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joseph Louis Petrusek is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Joseph Louis Petrusek, MD, PC
Po Box 1123,
La Grande, OR 97850-6123

Ph: (541) 963-8643
Dr Joseph Louis Petrusek, MD, PC
710 Sunset Dr, Ste. D,
La Grande, OR 97850-1200

Ph: (541) 963-8643

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› Verified 3 days ago


Otolaryngology Doctors in La Grande, OR

Steven K Pinther, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850
Phone: 541-663-3100    
Mr. Gerry F Funk, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850
Phone: 541-663-3100    Fax: 541-975-5135

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