Alexis B De Lucca, MD | |
2020 Se 182nd Avenue, Gresham, OR 97030 | |
(503) 988-5400 | |
(503) 988-5668 |
Full Name | Alexis B De Lucca |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 11 Years |
Location | 2020 Se 182nd Avenue, Gresham, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770928558 | NPI | - | NPPES |
096511 | Medicaid | OR | |
022959 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD175758 (Oregon) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Primary Care Group Pc | 0244125052 | 43 |
Entity Name | Multnomah County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025 |
Entity Name | Northwest Primary Care Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319658 PECOS PAC ID: 0244125052 Enrollment ID: O20040219000947 |
Mailing Address | Practice Location Address |
---|---|
Alexis B De Lucca, MD 421 Sw Oak St, Ste. 210, Portland, OR 97204-1817 Ph: (503) 988-7468 | Alexis B De Lucca, MD 2020 Se 182nd Avenue, Gresham, OR 97030 Ph: (503) 988-5400 |
Dr. Paul E Vanbredavriesman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18000 Se Stark Street, Gresham, OR 97233 Phone: 503-255-4243 Fax: 503-255-4243 | |
Dr. Joseph Mark Eisenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Ne 8th St, 3rd Floor, East County Health Center, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Gordon Paul Canzler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Roberts Ave, Gresham, OR 97030 Phone: 503-665-9144 Fax: 503-665-6404 | |
Caroline Chase Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9525 | |
Paul Podett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St Ste 205, Gresham, OR 97030 Phone: 503-665-1010 Fax: 503-665-1023 | |
Svetlana Taycher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr, Suite 125, Gresham, OR 97030 Phone: 503-661-3439 Fax: 503-669-1360 | |
Lam L Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25500 Se Stark St Ste 102, Gresham, OR 97030 Phone: 503-492-1327 |