Dr Elizabeth Anne Heskett Bouressa, MD | |
734 Elm St Sw, Albany, OR 97321-1934 | |
(541) 812-5111 | |
Not Available |
Full Name | Dr Elizabeth Anne Heskett Bouressa |
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Gender | Female |
Speciality | Pediatrics |
Location | 734 Elm St Sw, Albany, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104890631 | NPI | - | NPPES |
082623 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MD203466 (Oregon) | Primary |
Entity Name | Lane County Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023 |
Entity Name | Albany General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
Mailing Address | Practice Location Address |
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Dr Elizabeth Anne Heskett Bouressa, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Dr Elizabeth Anne Heskett Bouressa, MD 734 Elm St Sw, Albany, OR 97321-1934 Ph: (541) 812-5111 |
Adam B Paul, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 734 Elm St Sw, Albany, OR 97321 Phone: 541-812-5111 Fax: 541-812-5127 | |
Dr. Christina M. Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1123 Hill St Se Ste B, Albany, OR 97322 Phone: 541-207-7431 Fax: 541-644-5071 | |
Dr. Letrice Blair, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 734 Elm St Sw, Albany, OR 97321 Phone: 541-812-5111 | |
Dr. Neda Afzali, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 734 Elm St Sw, Albany, OR 97321 Phone: 541-812-5111 Fax: 541-812-5127 | |
Dr. Dana L. Kosmala, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1123 Hill St Se Ste B, Albany, OR 97322 Phone: 541-704-7304 | |
Dr. Lisa A. Boyd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 734 Elm St Sw, Albany, OR 97321 Phone: 541-812-5111 Fax: 541-926-9360 |