Mr. Michael Racine

MD | Pediatric Endocrinology | Male

Mr. Michael Racine, MD is a Roseburg, Oregon based Pediatric doctor with medical specialization in Pediatric Endocrinology. Current practice location of Mr. Michael Racine is 2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon - 97471-6214. He can be contacted on phone at 541-677-7200 and fax number 541-229-3309. Mr. Michael Racine is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Michael Racine is 1144287848 which was assigned by NPPES on 27 Apr, 2006 and it was last updated on 19 Oct, 2021. Mr. Michael Racine license number is MD170115 for Pediatrics Pediatric Endocrinology (2080P0205X) in Oregon.
Mr. Michael Racine provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Mr. Michael Racine basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Endocrinology
Provider Name :Mr. Michael Racine
Credential :MD
Gender :Male
Business Address:
Mr. Michael Racine address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :2570 Nw Edenbower Blvd Ste 100
Roseburg, OR, 97471-6214
United States
Phone Number :541-677-7200
Fax Number :541-229-3309
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1144287848
NPI Entity Type : Individual
First Enrolment Date : 27 Apr, 2006
Last Updated On : 19 Oct, 2021
Medicare Participation:
Mr. Michael Racine participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :4183652910
Medicare Enrollment ID :I20150220000020
Primary Specialty :Endocrinology
Medical School :Loma Linda University School Of Medicine
Graduation Year :1995
Accepts Medicare?Yes. Mr. Michael Racine accepts medicare insurance.
Group Practice Association:
Mr. Michael Racine is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Michael Racine is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Centennial Medical Group East Llc9234397878422570 Nw Edenbower Blvd
Suite 100
Roseburg, OR - 974716214
Ph: 5416777200
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael Racine are as mentioned. Primary taxonomy code for Mr. Michael Racine, MD is 2080P0205X (Pediatrics Pediatric Endocrinology).
Taxonomy Code SpecialityPrimaryLicense No.State
207RE0101XInternal Medicine Endocrinology, Diabetes & MetabolismNoMD170115OR
2080P0205XPediatrics Pediatric EndocrinologyYesMD170115OR
Legacy Identifiers:
Other legacy medical identifiers of Mr. Michael Racine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
500678063MEDICAIDOR
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :2570 Nw Edenbower Blvd Ste 100
Roseburg, OR, 97471-6214
United States
Phone Number :541-677-7200
Fax Number :541-229-3309
Business Location:
Patients can refer following map for directions to Mr. Michael Racine practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.